Organization
BLAKER ENTERPRISES INC
Active
Other names
Two Rivers Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA S BLAKER FNP (OWNER/PRACTITIONER)
(541) 284-8882
Entity
Organization
Contact information
Practice address
1902 JEFFERSON ST, SUITE 2, EUGENE, OR 97405-2414
(541) 284-8882
(541) 284-2826
Mailing address
1902 JEFFERSON ST, SUITE 2, EUGENE, OR 97405-2414
(541) 284-8882
(541) 284-2826
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
90006820N1
OR
Other
Enumeration date
10/24/2007
Last updated
12/10/2017
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