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

Blake D St Clair

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1376006882

Blake D St Clair is a Dermatology in Vancouver, Washington. Graduated from University of Arkansas College of Medicine in 2019, 7 years ago. Practices with The Vancouver Clinic Inc Ps, a 580-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
7
Trained at
University of Arkansas College of Medicine
Licensed in
WA
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

2525 NE 139th St Ste 240
Vancouver, WA 98686-2719
Phone: (360) 882-2778
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4301 W Markham St # 576, Little Rock, AR 72205-7101 — (501) 526-6994

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence MD61417775 (WA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1376006882
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 11, 2019
Last updated in NPPESSeptember 20, 2023
Certification dateSeptember 20, 2023
Mailing addressPo Box 4825, Portland, OR 97208-4825

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolUNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
Graduated 2019 (7 years in practice)
Group practice The Vancouver Clinic Inc Ps — 580 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Vancouver