Individual
MEGAN BLAISDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
4545 POINT FOSDICK DR NW, GIG HARBOR, WA 98335-1700
(253) 530-8000
(253) 530-8099
Mailing address
PO BOX 1247, MS 1322-2-EFM, PUYALLUP, WA 98371-0192
(253) 697-5757
(253) 697-1439
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OP60674542
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/09/2014
Last updated
12/21/2018
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