Osmundsen, Blake Carter
Osmundsen, Blake Carter is an sole proprietor health care provider with primary practice located at 5050 Ne Hoyt St Suite 615, Portland OR 97213-2991. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Gynecology, Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery is his primary health care specialty. Osmundsen, Blake Carter can be contacted via phone (503) 231-0407.Contact Information
Primary practice address
5050 Ne Hoyt St Suite 615
Portland OR 97213-2991
Phone: (503) 231-0407
Fax: (503) 231-0484
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | MD17368 | Oregon |
| Allopathic & Osteopathic Physicians / Gynecology | 207VG0400X | MD00044007 | Washington |
| Allopathic & Osteopathic Physicians / Gynecology | 207VG0400X | MD17368 | Oregon |
| Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery | 207VF0040X | MD17368 | Oregon |
Profile Details
| NPI number | 1457300550 |
|---|---|
| LBN Legal business name | Osmundsen, Blake Carter |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 8th, 2006 |
| Last updated | Feb 13th, 2019 - about 6 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 | 1457300550 | NPPES |
| Oregon | MEDICAID | 028386 |
Popular Providers
-
Mcqueary, Jeffrey
240 Medical Park Blvd Ste 2700 , Bristol TN 37620-7352 -
Karram, Michael
4631 Ridge Ave Ste A , Cincinnati OH 45209-1028 -
Otto, Lesley Nicoloff
9155 Sw Barnes Rd Suite 634, Portland OR 97225-6625 -
Boyles, Sarah Hamilton
9155 Sw Barnes Rd Ste 735 , Portland OR 97225-6634 -
Abbott, Philip Don
3700 Rufe Snow Dr , North Richland Hills TX 76180-8848 -
Heit, Michael H.
1633 N. Capitol Avenue Suite 436, Indianapolis IN 46202-1264 -
Tarr, Audrey Ellen
1040 Nw 22Nd Ave, Suite 600 , Portland OR 97210-3041 -
Heliker, Bhumy Dave
5050 Ne Hoyt St Ste 353 , Portland OR 97213-2983