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

Blake Gornowicz, MD

Individual provider Internal Medicine Physician · NPI 1548363732

Blake Gornowicz, MD is an Internal Medicine in The Dalles, Oregon. Graduated from University of Missouri, Columbia School of Medicine in 2004, 22 years ago. Practices with Grande Ronde Hospital Inc, a 96-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
22
Trained at
University of Missouri, Columbia School of Medicine
Licensed in
MO
In the registry since
2006
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

1700 E 19th St
The Dalles, OR 97058
Phone: (541) 296-1111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 2004018445 (MO)

Record details

NPI number1548363732
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 6, 2006
Last updated in NPPESDecember 11, 2013
Mailing address3448 Chippewa Ct, West Linn, OR 97068

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolUNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE
Graduated 2004 (22 years in practice)
Group practice Grande Ronde Hospital Inc — 96 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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