BLAYNE A STANDAGE

PORTLAND, OR
NPI1164410874
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208600000X Surgery
(Licence: OR  MD12970)
Enumeration Date2005-10-07
Last Update Date2011-03-04
Business Address
-- BLAYNE A STANDAGE MD
1130 NW 22ND AVE SUITE300
PORTLAND, OR 97210-2900
Phone number: 503-226-4325
Mailing Address
-- BLAYNE A STANDAGE MD
1130 NW 22ND AVE SUITE300
PORTLAND, OR 97210-2900
Phone number: 503-226-4325
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