Individual
CHRISTOPHER KYNRINT BLAZES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3710 SW US VETERANS HOSPITAL RD, PORTLAND, OR 97239-2964
(503) 220-8262
Mailing address
2626 SW SHERWOOD PL, PORTLAND, OR 97201-2285
(215) 313-9651
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
4301115779
MI
207P00000X
Emergency Medicine Physician
C140172
CA
207P00000X
Emergency Medicine Physician
MD073837L
PA
2084N0400X
Neurology Physician
4301115779
MI
2084P0800X
Psychiatry Physician
4301115779
MI
2084P0800X
Psychiatry Physician
Primary
MD203430
OR
2084P0802X
Addiction Psychiatry Physician
4301115779
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018495650001
—
PA
Enumeration date
12/28/2005
Last updated
05/24/2022
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