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Search › Washington › Internal Medicine Physician

Michael Blackburn, MD

NPI 1063429652 · on the registry since 2006

Practice

Address
201 15th Ave Sw Ste C
Puyallup, WA 98371
Phone
(253) 841-4243
Fax
(253) 864-9452
Organisation at this address
Kelvin K Ma Md Inc Ps
Rainier Nephrology Pllc
Michael G. Blackburn, M.D. , Inc. P.S.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
Internal Medicine Physician
207R00000X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-07-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington