Blauvelt, Andrew
Blauvelt, Andrew is an individual health care provider with primary practice located at 9495 Sw Locust Street Suite A, Portland OR 97223-6683. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Blauvelt, Andrew can be contacted via phone (503) 445-2200.Contact Information
Primary practice address
9495 Sw Locust Street Suite A
Portland OR 97223-6683
Phone: (503) 445-2200
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | MD24935 | Oregon |
Profile Details
| NPI number | 1932115425 |
|---|---|
| LBN Legal business name | Blauvelt, Andrew |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 1st, 2006 |
| Last updated | Aug 15th, 2011 - about 13 years ago |
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 | 1932115425 | NPPES |
| Oregon | MEDICAID | 274963 |
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