ERIK D BLAKE

KEIZER, OR
NPI1063520740
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208100000X Physical Medicine & Rehabilitation
(Licence: OR  MD21769)
Enumeration Date2006-08-25
Last Update Date2013-01-22
Business Address
ERIK D BLAKE MD
3624 RIVER RD N
KEIZER, OR 97303-5630
Phone number: 503-561-5976
Mailing Address
ERIK D BLAKE MD
3624 RIVER RD N.
KEIZER, OR 97303
Phone number: 503-561-5976