institution
Ml Blettel Md
Primary Care Clinic/Center in Portland, Oregon
NPI 1083985428

Ml Blettel Md is a Primary Care Clinic/Center based in Portland, OR and is specialized in Primary Care. Ml Blettel Md practices in Portland, OR. The NPI Number for Ml Blettel Md is 1083985428 and holds a License No. MD15147 (Oregon).

The current practice location address for Ml Blettel Md is 5559 Sw 85Th Ave, Portland, OR and can be reached out via phone at 503-894-9464 and via fax at 503-926-8397.

Location: 5559 Sw 85Th Ave, Portland, OR, 97225-1709
institution
Provider Profile Details
NPI Number
1083985428
Provider Name
Ml Blettel Md
Credential
Provider Entity Type
Organization
Address
5559 Sw 85Th Ave, Portland, OR, 97225-1709
Phone Number
503-894-9464
Fax Number
503-926-8397
Provider Enumeration Date
01/17/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
078444 05 OR
institution
Provider Business Practice Location Address Details
Address
5559 Sw 85Th Ave
City
State
Zip
97225-1709
Phone Number
503-894-9464
Fax Number
503-926-8397
person
Provider Business Mailing Address Details
Address
5559 Sw 85Th Ave
City
State
Zip
97225-1709
Phone Number
503-894-9464
Fax Number
503-926-8397
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
License No.
MD15147 (Oregon)
Definition
Definition to come...
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