Individual
CHRISTINA RUTH BLATCHFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
4506 SE KING RD, MILWAUKIE, OR 97222-5233
(503) 659-1337
(503) 659-6411
Mailing address
4506 SE KING RD, MILWAUKIE, OR 97222-5233
(503) 659-1337
(503) 659-6411
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D9307
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D9307
STATE LICENSE
OR
Enumeration date
07/25/2009
Last updated
07/25/2009
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