Blankenship, Derek James

Blankenship, Derek James is an individual health care provider with primary practice located at 1815 Sw Emigrant Ave , Pendleton OR 97801-1843. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Blankenship, Derek James can be contacted via phone (541) 519-0679.

Contact Information

Primary practice address
1815 Sw Emigrant Ave Pendleton OR 97801-1843
Phone: (541) 519-0679
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 4367AT Oregon

Profile Details

NPI number 1215414198
LBN Legal business name Blankenship, Derek James
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2018
Last updated Jul 24th, 2018 - about 8 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 1215414198 NPPES
Oregon Other 1487786455 NPI

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