MICHAEL ALLEN BLANKENSHIP

PORTLAND, OR
NPI1083942825
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: OR  200950064NP)
Additional Taxonomies363L00000X Nurse Practitioner
(Licence: WA  AP60105167)
Enumeration Date2009-12-04
Last Update Date2018-03-17
Business Address
Mr. MICHAEL ALLEN BLANKENSHIP A.P.R.N., P.M.H.N.P.
10101 SE MAIN ST STE 3001
PORTLAND, OR 97216-2458
Phone number: 503-261-5953
Mailing Address
Mr. MICHAEL ALLEN BLANKENSHIP A.P.R.N., P.M.H.N.P.
PO BOX 92900
PORTLAND, OR 97292-0900
Phone number:
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