SearchOregon207Q00000X

Jon Blackman, MD

NPI 1366609422 · on the registry since 2008 · sole proprietor

Practice

Address
2456 Nw Sacagawea Ln
Bend, OR 97701
Phone
(503) 223-5421

Registry record

Primary taxonomy
207Q00000X
207Q00000X
Licence states on file
OR
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2014-07-03

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 Oregon