Blair, Brian Warner
Blair, Brian Warner is an individual health care provider with primary practice located at 19250 Sw 65Th Ave Ste 100 , Tualatin OR 97062-7707. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Blair, Brian Warner can be contacted via phone (503) 691-2519.Contact Information
Primary practice address
19250 Sw 65Th Ave Ste 100
Tualatin OR 97062-7707
Phone: (503) 691-2519
Fax: (503) 659-8984
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD162295 | Oregon |
Profile Details
| NPI number | 1710298385 |
|---|---|
| LBN Legal business name | Blair, Brian Warner |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 29th, 2010 |
| Last updated | Jun 11th, 2020 - 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 | 1710298385 | NPPES |
| Oregon | MEDICAID | 500661973 |
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