Individual provider · Type 1 NPI

Debra Lee Mandelblatt, PA

Surgical Physician Assistant · Portland, OR

NPI number 1144422965 Active

Practice location

3710 SW US Veterans Hospital Rd
Portland, OR 97239-2964

Call (503) 220-8262 Map

Mailing address

5606 SE Ash St
Portland, OR 97215-1249

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA00526 (OR)

Surgical Physician Assistant: Definition to come...

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About NPI 1144422965

Debra Lee Mandelblatt, PA's National Provider Identifier is 1144422965, issued on Jun 4, 2007. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Portland, OR. The record was last updated on Jul 8, 2007.