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DALLAS BLANCO D.O.

Individual Provider (NPI-1) Active

Radiology, Diagnostic Radiology

Provider Information

NPI Number
1740716331
Provider Type
Individual Provider (NPI-1)
Credentials
D.O.
Status
Active

Contact & Location

Address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR, 972393011
Phone
(503) 418-0990
Fax
(503) 494-4982

Specialties & Taxonomies

Student in an Organized Health Care Education/Training Program
Radiology, Diagnostic Radiology Primary License: OR #DO209553

All Addresses

LOCATION

3181 SW SAM JACKSON PARK RD

PORTLAND, OR, 972393011

(503) 418-0990

MAILING

817 PRINCETON AVE SW POB II, SUITE 106

BIRMINGHAM, AL, 352111333