Blattner, Collin Matthew
Blattner, Collin Matthew is an individual health care provider with primary practice located at 1815 E 19Th St Ste B , The Dalles OR 97058-3385. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Blattner, Collin Matthew can be contacted via phone (541) 316-6575.Contact Information
Primary practice address
1815 E 19Th St Ste B
The Dalles OR 97058-3385
Phone: (541) 316-6575
Fax: (412) 108-9135
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery | 207ND0101X | DO177547 | Oregon |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | PG172025 | Oregon |
Profile Details
| NPI number | 1669868493 |
|---|---|
| LBN Legal business name | Blattner, Collin Matthew |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 8th, 2015 |
| Last updated | Aug 2nd, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669868493 | NPPES |
| Oregon | MEDICAID | 500753179 |
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