Individual
JEFFREY RUSSELL BLAIR JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4805 NE GLISAN ST, PORTLAND, OR 97213-2933
(503) 215-2392
Mailing address
4805 NE GLISAN ST, PORTLAND, OR 97213-2933
(503) 215-2392
(503) 215-6918
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
DO225550
OR
Other
Enumeration date
04/28/2022
Last updated
09/18/2025
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