MICHAELA GRACE THANH BLAKE

KLAMATH FALLS, OR
NPI1790528768
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2024-06-17
Last Update Date2025-09-29
Business Address
MICHAELA GRACE THANH BLAKE PA
3000 BRYANT WILLIAMS DR STE 102
KLAMATH FALLS, OR 97601-1139
Phone number: 541-274-8980
Mailing Address
MICHAELA GRACE THANH BLAKE PA
3000 BRYANT WILLIAMS DR STE 102
KLAMATH FALLS, OR 97601-1139
Phone number: 415-320-3249
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