Ml Blettel MD
Ml Blettel MD is a Primary Care Clinic/Center in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2012.
- Licensed in
- OR
- In the registry since
- 2012
Practice location Address checks out
5559 SW 85th AvePortland, OR 97225-1709
Phone: (503) 894-9464
Fax: (503) 926-8397
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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 MD15147 (OR) |
|---|
Record details
| NPI number | 1083985428 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Milton Blettel — Member Manager · (503) 894-9464 |
| NPI enumerated | January 17, 2012 |
| Last updated in NPPES | May 14, 2012 |
| Mailing address | 5559 Sw 85th Ave, Portland, OR 97225-1709 |
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