Individual provider · Type 1 NPI

Todd David Blakley, PHYSICIAN ASSISTANT

Medical Physician Assistant · Vancouver, WA

NPI number 1861405227 Active

Practice location

14406 NE 20th Ave
Vancouver, WA 98686-1448

Call (360) 571-3053 Map

Mailing address

3905 NW 119th St
Vancouver, WA 98685-3593

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XWA PA10003448 (WA)

Medical Physician Assistant: Definition to come...

165 other providers at this address

Other medical physician assistant providers in Vancouver

See all in Vancouver →

About NPI 1861405227

Todd David Blakley, PHYSICIAN ASSISTANT's National Provider Identifier is 1861405227, issued on Aug 15, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Vancouver, WA. The record was last updated on Jul 8, 2007.