BLAKE GASSAWAY

PORTLAND, OR
NPI1144172537
Entity TypeIndividual
GenderN/A
Sole Proprietor ?No
Primary Taxonomy163W00000X Registered Nurse
(Licence: OR  10055026)
Enumeration Date2026-02-10
Last Update Date2026-02-10
Business Address
BLAKE GASSAWAY
727 W BURNSIDE ST
PORTLAND, OR 97209-3514
Phone number: 503-228-4618
Mailing Address
BLAKE GASSAWAY
232 NW 6TH AVE
PORTLAND, OR 97209-3609
Phone number:
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