Individual
DR. DENNIS EARL BLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
4212 NE BROADWAY, PORTLAND, OR 97213
(503) 249-8787
(503) 284-5168
Mailing address
4212 NE BROADWAY, PORTLAND, OR 97213
(503) 249-8787
(503) 284-5168
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25322
OR
207R00000X
Internal Medicine Physician
DO25322
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
22705
—
OR
Enumeration date
12/05/2006
Last updated
11/12/2009
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