Blasco, Peter Anthony
Blasco, Peter Anthony is an individual health care provider with primary practice located at 707 Sw Gaines St , Portland OR 97239-2901. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Blasco, Peter Anthony can be contacted via phone (800) 452-3563.Contact Information
Primary practice address
707 Sw Gaines St
Portland OR 97239-2901
Phone: (800) 452-3563
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD22112 | Oregon |
Profile Details
| NPI number | 1992710487 |
|---|---|
| LBN Legal business name | Blasco, Peter Anthony |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 31st, 2006 |
| Last updated | Jul 17th, 2007 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992710487 | NPPES |
| Oregon | MEDICAID | 134100 |
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