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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LISA BLAKLEY, PA

Active

LISA BLAKLEY, PA is a Physician Assistant healthcare provider located in PORTLAND, Oregon. NPI 1649031642 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · PORTLAND, OR

Registration Details

NPI Number
1649031642
Provider Type
Individual
Gender
Female
NPI Issued
Jan 17, 2024 (2.5403555793821 yrs)
Last Updated
Feb 24, 2025
License
PA220196 (OR)

Practice Information

Address
2222 NW LOVEJOY ST STE 422
PORTLAND, OR, 972105102
Browse OR providers · Browse ZIP 97210
Phone
5032277117
Fax
5032277120
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in PORTLAND, OR

Name Credential NPI
SCOTT PRESTON BEYER PA-C 1295737997
LEON QUINTON COLBURN PA 1578565339
ROBERT LOUIS COURTOX PA 1184626970
JONATHAN REUEL VAN HORN PAC 1992798060
JENNY L HUME PA C 1851387666
JOHNNY YUN PA C 1538155312
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.