Michael G. Blackburn, MD , Inc P.s.
Michael G. Blackburn, MD , Inc P.s. is a Primary Care Clinic/Center in Puyallup, Washington. Licensed in Washington. Registered with an NPI since 2008.
- Licensed in
- WA
- In the registry since
- 2008
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
201 15th Ave SW Ste CPuyallup, WA 98371-7495
Phone: (253) 841-4243
Fax: (253) 864-9452
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Primary Care Clinic/Center (primary) | Taxonomy 261QP2300X · Licence MD00019306 (WA) |
|---|
Record details
| NPI number | 1285801480 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Michael Blackburn — Owner · (253) 841-4243 |
| NPI enumerated | May 15, 2008 |
| Last updated in NPPES | July 23, 2019 |
| Mailing address | 201 15th Ave Sw Ste C, Puyallup, WA 98371-7495 |
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