Individual
DR. BRIAN MATTHEW BLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
24900 SE STARK ST STE 103, GRESHAM, OR 97030
(503) 935-8088
Mailing address
541 NE 20TH AVE STE 225, PORTLAND, OR 97232-2895
(503) 963-2801
(503) 963-2825
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MD191957
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500760980
—
OR
Enumeration date
04/02/2013
Last updated
04/22/2025
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