Individual
DR. BARBARA ANN BLANKENSHIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
55 W TIETAN ST, WALLA WALLA, WA 99362-4445
(509) 525-3720
(509) 525-3720
Mailing address
55 W TIETAN ST, WALLA WALLA, WA 99362-4498
(509) 525-3720
(509) 522-1593
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
12301
ID
2085R0202X
Diagnostic Radiology Physician
Primary
MD00037722
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1008358
—
WA
05
—
1356305262
—
ID
01
—
171827
L&I
WA
01
—
324984
LNI PROVIDER ID
WA
01
—
324986
LNI PROVIDER ID
WA
01
—
324988
LNI PROVIDER ID
WA
05
—
8256976
—
WA
Enumeration date
04/17/2006
Last updated
12/27/2018
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