Individual
DR. ERIC MICHAEL BLAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
N.D.
Contact information
Practice address
833 SW 11TH AVE, SUITE 525, PORTLAND, OR 97205-2125
(503) 294-7070
(503) 224-2130
Mailing address
833 SW 11TH AVE, STE 525, PORTLAND, OR 97205-2125
(503) 294-7070
(503) 234-2130
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
1389
OR
207Q00000X
Family Medicine Physician
1389 NATUROPATHIC
OR
207R00000X
Internal Medicine Physician
1389 NATUROPATHIC
OR
Other
Enumeration date
03/09/2007
Last updated
10/02/2012
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