DR. KENNETH ERWIN BLAKE (NPI# 1346396264) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346396264 |
| Entity Type | Individual |
| Full Name | DR. KENNETH ERWIN BLAKE |
| Credential | D.M.D. |
| Practice Address |
3400 Sw 187th Ave Suite 2 Aloha OR 97006-3131 |
| Practice Telephone | 5036422834 |
| Practice Fax Number | 5036422834 |
| Mailing Telephone | 5036422834 |
| Mailing Fax Number | 5036422834 |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
5025 | OR | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013933589 | Kenneth Blake | Chiropractor | 39000 Bob Hope Drive Probst 315, Rancho Mirage, CA 92270-3221 | 2006-07-15 |
| 1851818389 | Kenneth J Blake | Driver | 7115 North Ave # 317, Oak Park, IL 60302-1002 | 2017-08-25 |
| 1215222393 | Kenneth Blake | Behavioral Analyst | 2470 Wrondel Way, Suite 150b, Reno, NV 89502-3701 | 2011-06-16 |
| 1851444012 | Kenneth Aaron Blake | Counselor | 2600 W 9th St, 4th Flr, Chester, PA 19013-2040 | 2007-01-19 |
| 1174622070 | Kenneth D Blake | Colon & Rectal Surgery | 10103 Ridgegate Pkwy, Suite 208, Lone Tree, CO 80124-5520 | 2006-09-21 |
| Street Address |
3400 SW 187TH AVE SUITE 2 |
| City | ALOHA |
| State | OR |
| Zip Code | 97006-3131 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073548491 | Thomas Mark Reedal | Dentist | 3400 Sw 187th Ave, Suite 3, Aloha, OR 97006-3131 | 2006-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184238727 | Hayden Alexander Meriwether | Dentist | 17895 Ne Evergreen Pkwy, #100, Beaverton, OR 97006 | 2020-09-01 |
| 1336781202 | Courtney Rae Murata | Behavior Technician | 337 Nw 215th Terrace, Apt, 106, Hillsboro, OR 97006 | 2019-10-11 |
| 1992355986 | Pamela J. Viado | Technician | 1220 Nw Weybridge Way, Beaverton, OR 97006 | 2019-09-12 |
| 1477115384 | One Change Group | Community/Behavioral Health | 2499 Nw 206th Ave, Apt A233, Hillsboro, OR 97006 | 2019-07-01 |
| 1649731332 | Regina C. Rizo | Social Worker | 1925 Amberglen Parkway, #3a-131, Hillsboro, OR 97006 | 2019-03-26 |
| 1043731912 | Elizabeth A Cintron | Occupational Therapy Assistant | 1189 Ne 89th Ave Apt 305, Hillsboro, OR 97006 | 2017-06-30 |
| 1265979173 | Lindsay Jensen | Massage Therapist | 15220 Nw Greenbrier Pkwy Ste 260, Beaverton, OR 97006 | 2017-01-30 |
| 1851835722 | Changepoint, Inc | Clinic/Center | 1700 Nw 167th Place, Suite 240, Beaverton, OR 97006 | 2016-12-13 |
| 1689126302 | Occupational Health Centers of The Southwest, P.a. (tx) | Clinic/Center | 2225 Nw Towncenter Drive, Beaverton, OR 97006 | 2016-10-28 |
| 1558717413 | Dillon Duvall | Physical Therapist | 16895 Nw Cornell Rd, #110, Beaverton, OR 97006 | 2016-05-10 |
| Find all providers in zip 97006 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295129104 | Anthony Adams | Dentist | 20285 Sw Tualatin Valley Hwy, Aloha, OR 97003 | 2015-03-28 |
| 1275924540 | Smith Dental Aloha LLC | Dentist | 18635 Sw Farmington Rd, Aloha, OR 97007-5612 | 2015-02-09 |
| 1245589571 | All About Dental. LLC | Dentist | 19665 Sw Tv Hwy, Suite A-1, Aloha, OR 97006-2352 | 2012-08-31 |
| 1245325885 | James Craig Mattson | Dentist | 18455 Sw Alexander St., Ste A, Aloha, OR 97006 | 2006-10-03 |
| 1811004971 | Michael Pavel Negru | Dentist | 3370 Sw 192nd Ave, Aloha, OR 97006 | 2006-08-24 |
| 1073548491 | Thomas Mark Reedal | Dentist | 3400 Sw 187th Ave, Suite 3, Aloha, OR 97006-3131 | 2006-07-12 |
| 1083601694 | Valerie A. Foster | Dentist | 19560 Sw Alexander St, Aloha, OR 97006-2315 | 2005-09-29 |
| 1346236718 | Ronald Glen Packham | Dentist | 18455 Sw Alexander St, Suite B, Aloha, OR 97006-3967 | 2005-09-21 |
| 1649266206 | David E Nevills | Dentist | 18540 Sw Vincent St, Aloha, OR 97078-1578 | 2005-09-20 |
| 1497757801 | Michelle L Graber | Dentist | 18425 Sw Alexander St, Aloha, OR 97003-3932 | 2005-08-15 |
| Find all providers in ALOHA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.