Individual
MRS. KATHRYN LYNN BLACHLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
232 NW 6TH AVE, PORTLAND, OR 97209-3609
(503) 294-1681
Mailing address
232 NW 6TH AVE, PORTLAND, OR 97209-3609
(503) 294-1681
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
200250131NP
OR
Other
Enumeration date
10/20/2006
Last updated
10/18/2016
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