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Individual

WILL O BLANKENSHIP

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
400 E PIONEER, STE. 208, PUYALLUP, WA 98372-3255
(253) 445-5828
Mailing address
1229 MADISON, STE1440, SEATTLE, WA 98104-3538
(206) 625-0578
(206) 625-9184

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
307187
LA
207L00000X
Anesthesiology Physician
Primary
MD00045090
WA

Other

Enumeration date
12/01/2005
Last updated
08/30/2018
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