Individual provider · Type 1 NPI

Christine Blake

Specialist · Tigard, OR

NPI number 1881980407 Active

Practice location

8770 SW Scoffins St
Tigard, OR 97223-6226

Mailing address

14600 NW Cornell Rd
Portland, OR 97229-5442

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1881980407

Christine Blake's National Provider Identifier is 1881980407, issued on Jun 22, 2011. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Tigard, OR. The record was last updated on Jun 22, 2011.