Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Blake Carter Osmundsen, MD

Individual provider Obstetrics & Gynecology Physician · NPI 1457300550

Blake Carter Osmundsen, MD is an Obstetrics & Gynecology Physician in Portland, Oregon. Practices as a sole proprietor. Licensed in Oregon and Washington.

Licensed in
OR, WA
In the registry since
2006
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

5050 NE Hoyt St Ste 615
Portland, OR 97213-2991
Phone: (503) 231-0407
Fax: (503) 231-0484
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Specialties & licences

Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician (primary) Taxonomy 207VF0040X · Licence MD17368 (OR)
Obstetrics & Gynecology Physician Taxonomy 207V00000X · Licence MD17368 (OR)
Gynecology Physician Taxonomy 207VG0400X · Licence MD00044007 (WA)
Gynecology Physician Taxonomy 207VG0400X · Licence MD17368 (OR)

Record details

NPI number1457300550
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 8, 2006
Last updated in NPPESFebruary 13, 2019

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