Individual
JANET BLASKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
401 15TH AVE SE, PUYALLUP, WA 98372
(253) 697-4000
Mailing address
5514 160TH AVE NE, REDMOND, WA 98052-5223
(614) 560-9305
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
PH60167254
WA
207R00000X
Internal Medicine Physician
Primary
OP60943803
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PG178225
MEDICAL LICENSE #
OR
Enumeration date
08/19/2010
Last updated
06/06/2019
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