Individual provider · Type 1 NPI

Erik Blaker

Student in an Organized Health Care Education/Training Program · Moscow, ID

NPI number 1407741333 Active

Practice location

875 Perimeter Dr
Moscow, ID 83844-9803

Call (208) 885-7447 Map

Fax (208) 885-9209

Mailing address

1005 Ponderosa Way
Moscow, ID 83843

Specialties and licenses

TaxonomyCodeLicense
Respiratory/Developmental/Rehabilitative Specialist/Technologist 225500000XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1407741333

Erik Blaker's National Provider Identifier is 1407741333, issued on Jun 11, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Moscow, ID. The record was last updated on Jun 11, 2025.