Blayne A Standage, MD
Blayne A Standage, MD is a Surgery Physician in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2005.
- Licensed in
- OR
- In the registry since
- 2005
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
1130 NW 22nd Ave SUITE300Portland, OR 97210-2900
Phone: (503) 226-4325
Fax: (503) 227-5024
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Surgery Physician (primary) | Taxonomy 208600000X · Licence MD12970 (OR) |
|---|
Record details
| NPI number | 1164410874 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | October 7, 2005 |
| Last updated in NPPES | March 4, 2011 |
| Mailing address | 1130 Nw 22nd Ave, Suite300, Portland, OR 97210-2900 |
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