Individual
KRISTEN BLAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
24915 SW VALLEY VIEW RD, WEST LINN, OR 97068-8638
(503) 501-7108
Mailing address
24915 SW VALLEY VIEW RD, WEST LINN, OR 97068-8638
(503) 501-7108
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
OR
Other
Enumeration date
10/03/2017
Last updated
10/03/2017
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