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Blake D St. Clair
Dermatology Physician in Vancouver, Washington
NPI 1376006882

Blake D St. Clair is a Dermatology Physician based in Portland, WA. Blake D St. Clair practices in Vancouver, WA. The NPI Number for Blake D St. Clair is 1376006882 and holds a License No. (Washington).

The current practice location address for Blake D St. Clair is 2525 Ne 139Th St Ste 240, Vancouver, WA and can be reached out via phone at 360-882-2778.

Location: 2525 Ne 139Th St Ste 240, Vancouver, WA, 97208-4825
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376006882
Provider Name
Blake D St. Clair
Credential
Provider Entity Type
Individual
Gender
Male
Address
2525 Ne 139Th St Ste 240, Vancouver, WA, 97208-4825
Phone Number
360-882-2778
Fax Number
Provider Enumeration Date
04/11/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2525 Ne 139Th St Ste 240
City
Vancouver
State
Washington
Zip
98686-2719
Phone Number
360-882-2778
Fax Number
person
Provider Business Mailing Address Details
Address
2525 Ne 139Th St Ste 240
City
Vancouver
State
Washington
Zip
98686-2719
Phone Number
360-882-2778
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Dermatology
Speciality
-
Taxonomy
207N00000X
License No.
MD61417775 (Washington)
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
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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