person
Todd David Blakley, PHYSICIANASSISTANT
Medical Physician Assistant in Vancouver, Washington
NPI 1861405227

Todd David Blakley is a Medical Physician Assistant based in Vancouver, WA and is specialized in Medical. Todd David Blakley practices in Vancouver, WA and has the professional credentials of PHYSICIANASSISTANT. The NPI Number for Todd David Blakley is 1861405227 and holds a License No. WA PA10003448 (Washington).

The current practice location address for Todd David Blakley is 14406 Ne 20Th Ave, Vancouver, WA and can be reached out via phone at 360-571-3053. You can also correspond with Todd David Blakley through the mailing address at 3905 NW 119TH ST, VANCOUVER, WA - 98685-3593 (mailing address contact number: 360-571-3053).

Location: 14406 Ne 20Th Ave, Vancouver, WA, 98685-3593
person
Provider Profile Details
NPI Number
1861405227
Provider Name
Todd David Blakley
Credential
PHYSICIANASSISTANT
Provider Entity Type
Individual
Gender
Male
Address
14406 Ne 20Th Ave, Vancouver, WA, 98685-3593
Phone Number
360-571-3053
Fax Number
Provider Enumeration Date
08/15/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
14406 Ne 20Th Ave
City
State
Zip
98686-1448
Phone Number
360-571-3053
Fax Number
person
Provider Business Mailing Address Details
Address
14406 Ne 20Th Ave
City
State
Zip
98686-1448
Phone Number
360-571-3053
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
WA PA10003448 (Washington)
Definition
Definition to come...
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