Individual
GRETCHEN E BLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1700 E 19TH ST, THE DALLES, OR 97058-3317
(541) 296-1111
(541) 269-7601
Mailing address
1700 E 19TH ST, THE DALLES, OR 97058-3317
(541) 296-1111
(541) 296-7601
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD22032
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
134211
—
OR
05
—
218105
—
OR
Enumeration date
11/28/2005
Last updated
12/09/2009
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