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

Dallas Blanco, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1740716331

Dallas Blanco, DO is a Diagnostic Radiology in Portland, Oregon. Graduated from William Carey University College of Osteopathic Medicine in 2017, 9 years ago. Practices with Acadiana Radiology Group, a 51-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
9
Trained at
William Carey University College of Osteopathic Medicine
Licensed in
OR
In the registry since
2017
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone: (503) 418-0990
Fax: (503) 494-4982
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence DO209553 (OR)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1740716331
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 3, 2017
Last updated in NPPESJune 8, 2022
Certification dateJune 8, 2022

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolWILLIAM CAREY UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2017 (9 years in practice)
Group practice Acadiana Radiology Group — 51 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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