Ml Blettel Md

LBN: Ml Blettel Md
Ml Blettel Md is an health care organization with primary practice located at 5559 Sw 85Th Ave , Portland OR 97225-1709. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Ml Blettel Md can be contacted via phone (503) 894-9464, or through Blettel, Milton Louis via phone (503) 894-9464.

Contact Information

Primary practice address
5559 Sw 85Th Ave Portland OR 97225-1709
Phone: (503) 894-9464
Fax: (503) 926-8397
Website:
Map and Directions
Authorized official contact:
Name: Blettel, Milton Louis Doctor of Medicine (MD)
Phone: (503) 894-9464

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X MD15147 Oregon

Profile Details

NPI number 1083985428
LBN Legal business name Ml Blettel Md
DBA Doing business as
Authorized official Blettel, Milton Louis Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 17th, 2012
Last updated May 14th, 2012 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083985428 NPPES
Oregon MEDICAID 078444

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