Individual
DAVID HOWARD BLATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
350 NW ELKS DR, SUITE 202, CORVALLIS, OR 97330-3885
(541) 758-8464
(541) 758-8460
Mailing address
350 NW ELKS DR, SUITE 202, CORVALLIS, OR 97330-3885
(541) 758-8464
(541) 758-8460
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
MD16833
OR
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
MD16833
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6098228
—
CA
Enumeration date
01/08/2009
Last updated
11/09/2009
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