Individual
CAROLYN S. BLASDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, MAIL CODE UHN 73C, PORTLAND, OR 97239-3011
(503) 494-5058
Mailing address
3181 SW SAM JACKSON PARK RD, MAIL CODE UHN 73C, PORTLAND, OR 97239-3011
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
RN00047944
WA
363LF0000X
Family Nurse Practitioner
Primary
—
OR
Other
Enumeration date
11/08/2006
Last updated
08/15/2007
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