| Doctor Name: | MICHEAL PATRICK BLIZNIAK |
| NPI Number: | 1124324611 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DPT |
| License Number: | PT60194846 |
| Business Practice Address: | 61615 Athletic Club Dr Suite 200 Bend, OR - 977023247 |
| Business Phone Number: | 5413827890 |
| Business Fax Number: | 5413827498 |
| Mailing Address: | 16083 Sw Upper Boones Ferry Rd, Suite 300 TIGARD |
| State: | OR |
| Postal Code: | 972247736 |
| Phone Number: | 8002198835 |
| Fax Number: | 5036399699 |
| NPI Enumeration Date: | 02/01/2011 |
| NPI Last Update Date: | 06/25/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT60194846 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |