Individual
RACHAEL Y BLAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
66 BRAMHALL ST, PORTLAND, ME 04102-3344
(207) 662-3157
(207) 662-4257
Mailing address
301C US ROUTE 1, SCARBOROUGH, ME 04074-9701
(207) 396-8600
(207) 396-8632
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MD18836
ME
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
MD18836
ME
Other
Enumeration date
05/27/2008
Last updated
01/28/2013
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