Individual
DAMION S. BLAIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
1880 LANCASTER DR NE, SUITE 120, SALEM, OR 97305-1089
(503) 385-6018
(503) 586-0255
Mailing address
1237 SE UGLOW AVE, DALLAS, OR 97338-2648
(503) 385-6018
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
13343
OR
Other
Enumeration date
01/23/2007
Last updated
07/08/2007
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