Blake, Kenneth Erwin
Blake, Kenneth Erwin is an sole proprietor health care provider with primary practice located at 3400 Sw 187Th Ave Suite 2, Aloha OR 97006-3131. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Blake, Kenneth Erwin can be contacted via phone (503) 642-2834.Contact Information
Primary practice address
3400 Sw 187Th Ave Suite 2
Aloha OR 97006-3131
Phone: (503) 642-2834
Fax: (503) 642-2834
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 5025 | Oregon |
Profile Details
| NPI number | 1346396264 |
|---|---|
| LBN Legal business name | Blake, Kenneth Erwin |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 25th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 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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