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Emma Bryanne Blake, RN
Child & Adolescent Psychiatric/Mental Health Registered Nurse in Corvallis, Oregon
NPI 1275159006

Emma Bryanne Blake is a Child & Adolescent Psychiatric/Mental Health Registered Nurse based in Portland, OR and is specialized in Psychiatric/Mental Health, Child & Adolescent. Emma Bryanne Blake practices in Corvallis, OR and has the professional credentials of RN. The NPI Number for Emma Bryanne Blake is 1275159006 and holds a License No. 201710072 (Oregon).

The current practice location address for Emma Bryanne Blake is 4455 Ne Highway 20, Corvallis, OR and can be reached out via phone at 541-758-5900. You can also correspond with Emma Bryanne Blake through the mailing address at 3415 SE POWELL BLVD, PORTLAND, OR - 97202-3371 (mailing address contact number: 541-234-9591).

Location: 4455 Ne Highway 20, Corvallis, OR, 97202-3371
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Provider Profile Details
NPI Number
1275159006
Provider Name
Emma Bryanne Blake
Credential
RN
Provider Entity Type
Individual
Gender
Female
Address
4455 Ne Highway 20, Corvallis, OR, 97202-3371
Phone Number
541-758-5900
Fax Number
Provider Enumeration Date
06/17/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
201710072 01 OR OREGON STATE BOARD OF NURSING
institution
Provider Business Practice Location Address Details
Address
4455 Ne Highway 20
City
State
Zip
97330-9695
Phone Number
541-758-5900
Fax Number
person
Provider Business Mailing Address Details
Address
3415 Se Powell Blvd
City
State
Zip
97202-3371
Phone Number
541-234-9591
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Psychiatric/Mental Health, Child & Adolescent
Taxonomy
License No.
201710072 (Oregon)
Definition
Definition to come...
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