Individual
JAN BLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
20215 POWERS RD, BEND, OR 97702-3705
(458) 256-8176
Mailing address
20215 POWERS RD, BEND, OR 97702-3705
(458) 256-8176
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
65215
OR
Other
Enumeration date
05/22/2023
Last updated
05/13/2025
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