Blank, Larry Steven

Blank, Larry Steven is an individual health care provider with primary practice located at 1 Western Oregon Service Unit Chemawa Indian Health Center, Salem OR 97305-1111. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Blank, Larry Steven can be contacted via phone (503) 304-7600.

Contact Information

Primary practice address
1 Western Oregon Service Unit Chemawa Indian Health Center Salem OR 97305-1111
Phone: (503) 304-7600
Fax: (503) 304-7678
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 9431 Arizona

Profile Details

NPI number 1407836489
LBN Legal business name Blank, Larry Steven
Credentials RPH
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2006
Last updated Jul 13th, 2026 - about 4 months 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 1407836489 NPPES
Oregon MEDICAID 270030

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