# BLAKE BITTON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1023378882
- **Gender:** Man
- **Credential:** PA-C, PHD, RDH

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | — | NULL | Yes |
| 363AM0700X | Medical Physician Assistant | 60697705 | WA | — |

## Other

- **Enumeration date:** 05/25/2012
- **Last updated:** 01/07/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1023378882 | NPI | — |