Organization · Type 2 NPI
ML Blettel MD
Primary Care Clinic/Center · Portland, OR
NPI number
1083985428
Active
Practice location
5559 SW 85th Ave
Portland, OR 97225-1709
Fax (503) 926-8397
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | MD15147 (OR) |
Primary Care Clinic/Center: Definition to come...
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About NPI 1083985428
ML Blettel MD's National Provider Identifier is 1083985428, issued on Jan 17, 2012. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Portland, OR. The record was last updated on May 14, 2012.