Kenneth Erwin Blake in Aloha - General Practice
Kenneth Erwin Blake - NPI 1346396264
Kenneth Erwin Blake is a General Practice in Aloha, Oregon. Kenneth Erwin Blake practices all healthcare services and medical treatments related to General Practice. The NPI Number for Kenneth Erwin Blake is 1346396264. The last update date is 2007-07-08.
Kenneth Erwin Blake's current location address is 3400 Sw 187th Ave, Aloha, Oregon. You can contact this provider via phone number 5036422834 and fax number 5036422834. The mailing address for Kenneth Erwin Blake is 3400 Sw 187th Ave, Aloha, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth Erwin Blake |
|---|---|
| Address | 3400 Sw 187th Ave, Aloha, Oregon |
| Phone Number | 5036422834 |
| Fax Number | 5036422834 |
| Sole Proprietor | Y |
| Credentials | D.M.D. |
NPI Number Detail
| NPI Number | 1346396264 |
|---|---|
| Provider Enumeration Date | 2007-01-25 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3400 Sw 187th Ave |
|---|---|
| City | Aloha |
| State | Oregon (OR) |
| Post Code | 970063131 |
| Phone Number | 5036422834 |
| Fax Number | 5036422834 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 5025 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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What is the unique identification code assigned to Kenneth Erwin Blake by the Centers for Medicare & Medicaid Services?
The Kenneth Erwin Blake has been issued the NPI (National Provider Identifier) 1346396264. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Kenneth Erwin Blake located?
The Kenneth Erwin Blake is located at 3400 Sw 187Th Ave, Aloha, OR 970063131.
What is the Kenneth Erwin Blake's area of specialization and corresponding taxonomy classification?
The Kenneth Erwin Blake's specialty field is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their specialties.
On what date was the 1346396264 assigned to Kenneth Erwin Blake?
The Kenneth Erwin Blake was issued its 1346396264 on 2007-01-25, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Kenneth Erwin Blake most recently updated?
The details pertaining to the Kenneth Erwin Blake, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.