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

Susan A Blasi, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1164877023

Susan A Blasi, DO is a Family Practice in Lake Oswego, Oregon. Graduated from University of New England, College of Osteo Medicine in 2016, 10 years ago. Practices with Providence Health and Services Oregon, a 1,426-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Oregon.

Years since qualifying
10
Trained at
University of New England, College of Osteo Medicine
Licensed in
OR
In the registry since
2016
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.

See every abbreviation used in this directory →

Practice location Address checks out

17550 Provost St Ste 201
Lake Oswego, OR 97034-5199
Phone: (503) 513-3350
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 90 S Main St, Middletown, CT 06457-3649 — (860) 358-6486

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence DO200035 (OR)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1164877023
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 28, 2016
Last updated in NPPESJanuary 29, 2021
Certification dateJanuary 29, 2021
Mailing addressPo Box 3158, Portland, OR 97208-3158

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF NEW ENGLAND, COLLEGE OF OSTEO MEDICINE
Graduated 2016 (10 years in practice)
Group practice Providence Health And Services Oregon — 1426 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

Other providers in Lake Oswego