Individual
DR. STEVEN BLAKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
454 A AVE, LAKE OSWEGO, OR 97034-3038
(503) 636-3066
(503) 636-7747
Mailing address
340 RIDGEWAY RD, LAKE OSWEGO, OR 97034-3821
(503) 543-1966
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D6259
OR
Other
Enumeration date
05/07/2007
Last updated
07/08/2007
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