NPI 1376006882

Blake D St. Clair

Practitioner Dermatology Physician Vancouver, WA

Practice location

Address: 2525 NE 139th St STE 240, Vancouver, WA 98686-2719
Phone: (360) 882-2778
Mailing address: PO Box 4825, Portland, OR 97208-4825

Registered specialties (2)

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence MD61417775 (WA)

Other Dermatology providers in Washington →

Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

Other Student in an Organized Health Care Education/Training Program providers in Washington →

Registry record

NPI: 1376006882
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 Apr 2019
Record last updated: 20 Sep 2023

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.