Blake, Christopher A.

Blake, Christopher A. is an individual health care provider with primary practice located at 355 Se Baker St , Mcminnville OR 97128-6039. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Blake, Christopher A. can be contacted via phone (503) 472-0423.

Contact Information

Primary practice address
355 Se Baker St Mcminnville OR 97128-6039
Phone: (503) 472-0423
Fax: (503) 472-4325
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 10783 Oregon

Profile Details

NPI number 1962450601
LBN Legal business name Blake, Christopher A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2006
Last updated Oct 7th, 2008 - about 18 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962450601 NPPES
Oregon MEDICAID 228452
Oregon Other 930805004
Oregon Other 200001052

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