NPI 1457644098 · live from the CMS NPI Registry
Kevin Patrick Blaine, MD, MPH
Anesthesiology in Portland, OR. National Provider Identifier 1457644098, active.
NPI record
| NPI | 1457644098 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Anesthesiology 207L00000X |
| Practice location | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 |
| Practice phone | 503-494-7641 |
| Enumerated | May 16, 2011 |
| Last updated | October 16, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Anesthesiology | 207L00000X | A117484 (CA) |
| Anesthesiology, Critical Care Medicine | 207LC0200X | D78083 (MD) |
| Anesthesiology, Critical Care Medicine | 207LC0200X | A117484 (CA) |
| Anesthesiology primary | 207L00000X | MD195468 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.