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

Blake McConnell, MD

Individual provider Family Medicine Physician · NPI 1063074789

Blake McConnell, MD is a Family Practice in Salem, Oregon. Graduated from University of Utah School of Medicine in 2023, 3 years ago. Practices with Salem Health, a 479-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Oregon and Utah.

Years since qualifying
3
Trained at
University of Utah School of Medicine
Licensed in
OR, UT
In the registry since
2019
Specialties on file
2
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

2485 12th St SE
Salem, OR 97302-2151
Phone: (503) 363-8047
Fax: (503) 363-6571
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MD215853 (OR)
Family Medicine Physician Taxonomy 207Q00000X · Licence 12439658-1205 (UT)

Record details

NPI number1063074789
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 2, 2019
Last updated in NPPESSeptember 6, 2023
Certification dateSeptember 6, 2023
Mailing addressPo Box 13129, Salem, OR 97309-1129

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduated 2023 (3 years in practice)
Group practice Salem Health — 479 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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