Charles David Blanke in Portland - Medical Oncology

Charles David Blanke - NPI 1639187198

Charles David Blanke is a Medical Oncology in Portland, Oregon. Charles David Blanke practices all healthcare services and medical treatments related to Medical Oncology. The NPI Number for Charles David Blanke is 1639187198. The last update date is 2007-07-17.

Charles David Blanke's current location address is 3181 Sw Sam Jackson Park Rd, Portland, Oregon. You can contact this provider via phone number 5034941556 and fax number 5034943257. The mailing address for Charles David Blanke is 3181 Sw Sam Jackson Park Rd, Portland, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Name Charles David Blanke
Address 3181 Sw Sam Jackson Park Rd, Portland, Oregon
Phone Number 5034941556
Fax Number 5034943257
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1639187198
Provider Enumeration Date 2006-08-03
Last Updated Date 2007-07-17

Provider Mailing Address Detail

Address 3181 Sw Sam Jackson Park Rd
City Portland
State Oregon (OR)
Post Code 972393011
Phone Number 5034941556
Fax Number 5034943257

Provider's Primary Taxonomy Detail

Speciality Medical Oncology
Taxonomy 207Rx0202X
Licence No MD21402
Definition:
An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
130063 OR --

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FAQs about Charles David Blanke

What is the unique identification code assigned to Charles David Blanke by the Centers for Medicare & Medicaid Services?

The Charles David Blanke has been issued the NPI (National Provider Identifier) 1639187198. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Charles David Blanke's facilities are geographically located?

The facilities of Charles David Blanke are physically situated at the following location: 3181 Sw Sam Jackson Park Rd, Portland, OR, 972393011.

What is Charles David Blanke's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Charles David Blanke is Medical Oncology, and the corresponding taxonomy classification code for this specialized field is 207Rx0202X.

On what date did Charles David Blanke receive its 1639187198 assignment from the Centers for Medicare & Medicaid Services?

The Charles David Blanke was assigned its 1639187198 on 2006-08-03, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Charles David Blanke most recently updated or revised?

The information pertaining to Charles David Blanke, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-17.

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