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DOUGLAS P BLACKALL MD

Individual Provider (NPI-1) Active

Pathology, Clinical Pathology

Provider Information

NPI Number
1891885380
Provider Type
Individual Provider (NPI-1)
Credentials
MD
Status
Active

Contact & Location

Address
4805 NE GLISAN ST, PORTLAND, OR, 972132933
Phone
(503) 215-6096

Specialties & Taxonomies

Pathology, Blood Banking & Transfusion Medicine License: OR #MD202871
Pathology, Blood Banking & Transfusion Medicine License: AR #C-7459
Pathology, Clinical Pathology/Laboratory Medicine License: AR #C-7459
Pathology, Clinical Pathology Primary License: OR #MD202871

All Addresses

MAILING

PO BOX 3395

PORTLAND, OR, 972083395

(503) 215-6023

LOCATION

4805 NE GLISAN ST

PORTLAND, OR, 972132933

(503) 215-6096