Individual provider · Type 1 NPI

Blake Carter Osmundsen, MD

Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician · Portland, OR

NPI number 1457300550 Active

Practice location

5050 NE Hoyt St, Suite 615
Portland, OR 97213-2991

Fax (503) 231-0484

Specialties and licenses

TaxonomyCodeLicense
Obstetrics & Gynecology Physician 207V00000XMD17368 (OR)
Gynecology Physician 207VG0400XMD00044007 (WA)
Gynecology Physician 207VG0400XMD17368 (OR)
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician Primary 207VF0040XMD17368 (OR)

Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician: A subspecialist in Urogynecology and Reconstructive Pelvic Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures nec…

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About NPI 1457300550

Blake Carter Osmundsen, MD's National Provider Identifier is 1457300550, issued on May 8, 2006. The primary taxonomy on file is Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician (207VF0040X), and the practice location is in Portland, OR. The record was last updated on Feb 13, 2019.