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-- BLAKE GORNOWICZ -- MD

Individual Provider (NPI-1) Active

Internal Medicine

Provider Information

NPI Number
1548363732
Provider Type
Individual Provider (NPI-1)
Credentials
MD
Status
Active

Contact & Location

Address
1700 E 19TH STREET, THE DALLES, OR, 97058
Phone
(541) 296-1111

Specialties & Taxonomies

Internal Medicine Primary License: MO #2004018445

All Addresses

MAILING

3448 CHIPPEWA CT

WEST LINN, OR, 97068

(573) 424-6436

LOCATION

1700 E 19TH STREET

THE DALLES, OR, 97058

(541) 296-1111