Individual
ANDREA BLATTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3311 RIVERBEND DR STE 300, SPRINGFIELD, OR 97477-8800
(541) 484-4332
(541) 242-6770
Mailing address
1115 SE 164TH AVE DEPT 358, VANCOUVER, WA 98683-8004
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
200450065NP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
213486
—
OR
Enumeration date
08/22/2006
Last updated
03/02/2016
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