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

Jeffrey Blake, MD

Individual provider Pediatrics Physician · NPI 1093734451

Jeffrey Blake, MD is a Pediatrics Physician in Tacoma, Washington. Licensed in Washington. Registered with an NPI since 2006.

Licensed in
WA
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

317 Martin Luther King Jr Way
Tacoma, WA 98405-4234
Phone: (253) 403-1418
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence MD00044860 (WA)

Record details

NPI number1093734451
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 18, 2006
Last updated in NPPESSeptember 8, 2010
Mailing address315 Martin Luther King Jr Way, Tacoma, WA 98405-4234

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