MATTHEW BLACKE

PORT ANGELES, WA
NPI1518220169
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: WA  MD60489115)
Enumeration Date2012-06-19
Last Update Date2023-04-13
Business Address
MATTHEW BLACKE MD
907 GEORGIANA ST
PORT ANGELES, WA 98362-3911
Phone number: 360-565-0550
Mailing Address
MATTHEW BLACKE MD
PO BOX 850
PORT ANGELES, WA 98362-0146
Phone number: 360-565-0550
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