Erik D Blake MD

NPI 1063520740 - Physical Medicine & Rehabilitation - 208100000X

NPI Details
NPI 1063520740
Gender Male
Enumeration Date 08/25/2006
Last Updated 01/22/2013
Entity Type Individual
Active Over 11 years ago
Practice Location
KEIZER OR, 97303-5630, US
Phone (503) 561-5976
Fax (503) 561-4912
Business Location
3624 RIVER RD N.
KEIZER OR, 97303, US
Phone (503) 561-5976
Fax (503) 561-4912
Taxonomy Code 208100000X
License State Oregon
License Number MD21769
Remove 1063520740 NPI Number

According to our database, Erik D Blake MD NPI is 1063520740, taxonomy code is 208100000X and license number is MD21769, license state is located at Oregon. Erik D Blake MD physically located at 3624 River Rd N, Keizer OR, 97303-5630. NPI Number Erik D Blake MD has the Individual type.

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1063520740 NPI number is provided on an as is basis without warranty of any kind. 1063520740 is maintained by the National Plan & Provider Enumeration System. The contents of Erik D Blake MD are for informational purposes only.