NPI 1063520740

Erik D Blake, MD

Practitioner Physical Medicine & Rehabilitation Physician Keizer, OR

Practice location

Address: 3624 River Rd N, Keizer, OR 97303-5630
Phone: (503) 561-5976
Fax: (503) 561-4912
Mailing address: 3624 River Rd N., Keizer, OR 97303

Registered specialties

Physical Medicine & Rehabilitation Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208100000X Licence MD21769 (OR)

Other Physical Medicine & Rehabilitation providers in Oregon →

Registry record

NPI: 1063520740
Entity type: Individual
Sex (as registered): Male
NPI issued: 25 Aug 2006
Record last updated: 22 Jan 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.