BLAKE GORNOWICZ

THE DALLES, OR
NPI1548363732
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: MO  2004018445)
Enumeration Date2006-09-06
Last Update Date2013-12-11
Business Address
-- BLAKE GORNOWICZ MD
1700 E 19TH STREET
THE DALLES, OR 97058
Phone number: 541-296-1111
Mailing Address
-- BLAKE GORNOWICZ MD
3448 CHIPPEWA CT
WEST LINN, OR 97068
Phone number: 573-424-6436
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