Doctor Name: | JEFFREY A BLANCHE |
NPI Number: | 1265622625 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | MD12697 |
Business Practice Address: | 725 S Wahanna Rd Seaside, OR - 971387735 |
Business Phone Number: | 5037177000 |
Business Fax Number: | |
Mailing Address: | Po Box 3610, TUALATIN |
State: | OR |
Postal Code: | 970623610 |
Phone Number: | 5038852600 |
Fax Number: | 5038858833 |
NPI Enumeration Date: | 07/31/2007 |
NPI Last Update Date: | 12/21/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0202X |
License Number: | MD12697 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Diagnostic Radiology |
Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |