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Susan A Blasi, DO
Family Medicine Physician in Lake Oswego, Oregon
NPI 1164877023

Susan A Blasi is a Family Medicine Physician based in Portland, OR. Susan A Blasi practices in Lake Oswego, OR and has the professional credentials of DO. The NPI Number for Susan A Blasi is 1164877023 and holds a License No. (Oregon).

The current practice location address for Susan A Blasi is 17550 Provost St Ste 201, Lake Oswego, OR and can be reached out via phone at 503-513-3350. You can also correspond with Susan A Blasi through the mailing address at PO BOX 3158, PORTLAND, OR - 97208-3158 (mailing address contact number: 503-215-6494).

Location: 17550 Provost St Ste 201, Lake Oswego, OR, 97208-3158
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164877023
Provider Name
Susan A Blasi
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
17550 Provost St Ste 201, Lake Oswego, OR, 97208-3158
Phone Number
503-513-3350
Fax Number
Provider Enumeration Date
04/28/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
17550 Provost St Ste 201
City
Lake Oswego
State
Oregon
Zip
97034-5199
Phone Number
503-513-3350
Fax Number
person
Provider Business Mailing Address Details
Address
17550 Provost St Ste 201
City
Lake Oswego
State
Oregon
Zip
97034-5199
Phone Number
503-513-3350
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
DO200035 (Oregon)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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