Individual
ERIK D BLAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3624 RIVER RD N, KEIZER, OR 97303-5630
(503) 561-5976
(503) 561-4912
Mailing address
3624 RIVER RD N., KEIZER, OR 97303
(503) 561-5976
(503) 561-4912
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MD21769
OR
Other
Enumeration date
08/25/2006
Last updated
01/22/2013
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