Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DOUGLAS P BLACKALL, MD
ActiveDOUGLAS P BLACKALL, MD is a Clinical Pathology healthcare provider located in PORTLAND, Oregon. NPI 1891885380 is currently active in the NPPES registry. Verify at CMS.
Clinical Pathology · PORTLAND, OR
Registration Details
- NPI Number
- 1891885380
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 13, 2006 (19.856551864647 yrs)
- Last Updated
- Jan 15, 2021
- Licenses
-
MD202871 (OR)C-7459 (AR)C-7459 (AR)MD202871 (OR)
Practice Information
- Address
-
4805 NE GLISAN STPORTLAND, OR, 972132933Browse OR providers · Browse ZIP 97213
- Phone
- 5032156096
- Primary Specialty
-
Clinical Pathology
207ZC0006X
- Additional Specialty
- Blood Banking & Transfusion Medicine
- Additional Specialty
- Clinical Pathology/Laboratory Medicine
- Additional Specialty
- Clinical Pathology
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.