HomeNPI Verification

NPI Verification

National Provider Identifier: 1164877023

Susan a Blasi, D.o.

Individual Provider

Credentials

D.O.

Primary Specialty

Family Medicine

Code: 207Q00000X

All Specialties (2)

Student in an Organized Health Care Education/Training Program

Code: 390200000X

Family Medicine

Code: 207Q00000X

Primary

Practice Address

17550 PROVOST ST STE 201

LAKE OSWEGO, OR 970345199

Phone: 503-513-3350

NPI Enumeration Date

April 28, 2016

NPI Number

1164877023

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry