Active NPIIndividual providerSole proprietor

Jon A Blackman, MD

Family Medicine in Bend, Oregon

NPI Number1366609422
Practice location
2456 NW Sacagawea Ln, Bend, OR 97701-5722
Fax
—
Last updated
July 3, 2014

Jon Arthur Blackman is a Family Medicine based in Bend, OR. Jon Arthur Blackman practices in Bend, OR and has the professional credentials of MD. The NPI Number for Jon Arthur Blackman is 1366609422 and holds a License No. 10870 (OR). The current practice location address for Jon Arthur Blackman is 2456 NW Sacagawea Ln, Bend, OR 97701-5722 and can be reached out via phone at 503-223-5421.

Provider Profile Details

NPI Number
1366609422
Provider Name
Jon Arthur Blackman
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2456 NW Sacagawea Ln, Bend, OR 97701-5722
Phone Number
503-223-5421
Primary Taxonomy
Family Medicine · 207Q00000X
Sole Proprietor
Yes
Provider Enumeration Date
May 16, 2008
Last Update Date
July 3, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
2456 NW Sacagawea Ln
Bend, OR 97701-5722
City
Bend
State
Oregon
Zip
97701-5722
Phone Number
503-223-5421
Bend, OR 97701Get directions →

Provider Business Mailing Address Details

Address
2456 NW Sacagawea Ln
Bend, OR 97701-5722
City
Bend
State
OR
Zip
97701-5722
Phone Number
503-223-5421

License Information

License Number
10870
License State
OR
Taxonomy
Family Medicine · 207Q00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jon A Blackman, MD?

The NPI number of Jon A Blackman, MD is 1366609422. It was assigned on May 16, 2008 and is currently active in the NPPES registry.

What is the specialty of Jon A Blackman, MD?

Jon A Blackman, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in OR under license number 10870.

Where does Jon A Blackman, MD practice?

The practice location is 2456 NW Sacagawea Ln, Bend, OR 97701-5722. The office can be reached at 503-223-5421 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1366609422 directly on the NPPES registry website.

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