Individual
ANNA FEHM BLAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
345 N GRANT ST, CANBY, OR 97013-3610
(503) 266-2066
Mailing address
PO BOX 35380, LAS VEGAS, NV 89133-5380
(702) 579-3203
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
201805042RN
OR
363L00000X
Nurse Practitioner
Primary
10049425
OR
Other
Enumeration date
11/16/2023
Last updated
05/07/2026
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