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

TODD DAVID BLAKLEY, PHYSICIAN ASSISTANT

Active

TODD DAVID BLAKLEY, PHYSICIAN ASSISTANT is a Medical Physician Assistant healthcare provider located in VANCOUVER, Washington. NPI 1861405227 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · VANCOUVER, WA

Registration Details

NPI Number
1861405227
Provider Type
Individual
Gender
Male
NPI Issued
Aug 15, 2006 (19.957445857869 yrs)
Last Updated
Jul 8, 2007
License
WA PA10003448 (WA)

Practice Information

Address
14406 NE 20TH AVE
VANCOUVER, WA, 986861448
Browse WA providers · Browse ZIP 98686
Phone
3605713053
Primary Specialty
Medical Physician Assistant
363AM0700X

Other Medical Physician Assistant Providers in VANCOUVER, WA

Name Credential NPI
LYNN BENSON WYVILLE P.A. 1538162193
PAUL DAVID MORTLOCK PA-C 1376506733
ROBERT C SENNING PA 1972552016
MR. DAVID WILLIAM CURRAN PA-C 1194770206
MR. DAVID MICHAEL PASTICK PAC 1477593341
RONALD L KING P.A. 1235154808
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.