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Individual

BLAKE ANDREW SUHLING

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
2644 SUZANNE WAY, EUGENE, OR 97408-7418
(541) 747-4300
(541) 747-0655
Mailing address
2644 SUZANNE WAY, EUGENE, OR 97408-7418
(541) 747-4300
(541) 747-0655

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA206252
OR
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
06/07/2021
Last updated
12/12/2022
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