Organization
CHRISTOPHER A. BLAKE, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER ALAN BLAKE M.D. (OWNER)
(503) 472-0423
Entity
Organization
Contact information
Practice address
355 SE BAKER ST, MCMINNVILLE, OR 97128-6039
(503) 472-0423
Mailing address
355 SE BAKER ST, MCMINNVILLE, OR 97128-6039
(503) 472-0423
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200001052
RAILROAD MEDICARE
OR
05
—
228452
—
OR
Enumeration date
05/30/2007
Last updated
06/25/2009
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