NPI 1699749804 · live from the CMS NPI Registry
Jonathan M. Blatt, M.D.
Anesthesiology, Pain Medicine in Milwaukie, OR. National Provider Identifier 1699749804, active.
NPI record
| NPI | 1699749804 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Anesthesiology, Pain Medicine 207LP2900X |
| Practice location | 6542 Se Lake Rd., Suite 202, Milwaukie, OR 97222 |
| Practice phone | 503-654-5636 |
| Enumerated | February 14, 2006 |
| Last updated | November 24, 2009 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Anesthesiology | 207L00000X | MD16764 (OR) |
| Anesthesiology, Pain Medicine primary | 207LP2900X | MD16764 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.