Individual
JON ARTHUR BLACKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2456 NW SACAGAWEA LN, BEND, OR 97701-5722
(503) 223-5421
Mailing address
2456 NW SACAGAWEA LN, BEND, OR 97701-5722
(503) 223-5421
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
10870
OR
Other
Enumeration date
05/16/2008
Last updated
07/03/2014
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