DR. STEVEN BLAKLEY (NPI# 1346453370) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346453370 |
| Entity Type | Individual |
| Full Name | DR. STEVEN BLAKLEY |
| Credential | DMD |
| Practice Address |
454 A Ave Lake Oswego OR 97034-3038 |
| Mailing Address |
340 Ridgeway Rd Lake Oswego OR 97034-3821 |
| Practice Telephone | 5036363066 |
| Practice Fax Number | 5036367747 |
| Mailing Telephone | 5035431966 |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
D6259 | OR | Dental Providers |
| Street Address |
454 A AVE |
| City | LAKE OSWEGO |
| State | OR |
| Zip Code | 97034-3038 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396905428 | Lisa Sabienne Spink | Dentist | 454 A Ave, Lake Oswego, OR 97034-3038 | 2008-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194377309 | Robin Donart | Case Manager/Care Coordinator | 2595 Christie Drive, Lake Oswego, OR 97034 | 2019-07-09 |
| 1740844539 | New Avenues for Youth | Clinic/Center | 2595 Christie Dr., Lake Oswego, OR 97034 | 2019-04-26 |
| 1366946451 | Kristy Car Makowichuk | Counselor | 630 B Avenue, Suite 9, Lake Oswego, OR 97034 | 2018-03-22 |
| 1861841504 | Soaring Crane Acuouncture LLC | Acupuncturist | 630 B Ave. #3, Lake Oswego, OR 97034 | 2016-06-03 |
| 1679945216 | Guru Sandesh Singh Khalsa | Naturopath | 630 B Avenue, Suite 3, Lake Oswego, OR 97034 | 2015-10-22 |
| 1902208846 | 360 Pediatric Psychology, PC | Clinical Neuropsychologist | 201 B Ave., Suite #285, Lake Oswego, OR 97034 | 2014-09-23 |
| 1275873309 | Sara Elizabeth Forrest | Social Worker | 2507 Christie Dr., Lake Oswego, OR 97034 | 2013-02-27 |
| 1982964631 | Catherine L Morris Daraee | Social Worker | 4040 Douglas Way, Lake Oswego, OR 97034 | 2012-05-29 |
| 1205105244 | Gail E. Barnard | Specialist/Technologist | 1260 Rockinghorse Ln, Lake Oswego, OR 97034 | 2011-12-20 |
| 1306099460 | Corinne Jarvis | Speech-Language Pathologist | 325 3rd Street, Lake Oswego, OR 97034 | 2008-11-02 |
| Find all providers in zip 97034 | ||||
| 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 |
|---|---|---|---|---|
| 1770070815 | Kelli Marie Rike | Dentist | 17437 Boones Ferry Rd Ste 200, Lake Oswego, OR 97035-6203 | 2018-04-14 |
| 1255791117 | Matthew M Sheppard D.m.d L.L.C. | Dentist | 15962 Boones Ferry Rd Ste 208, Lake Oswego, OR 97035-4360 | 2016-03-03 |
| 1013264308 | Nicholas G Dose | Dentist | 601 1st St Ste A, Lake Oswego, OR 97034-2370 | 2012-08-06 |
| 1942432786 | Julia V Savina | Dentist | 200 Greenridge Dr, #209, Lake Oswego, OR 97035-8849 | 2009-08-12 |
| 1689830556 | Ian Stuart Tydeman | Dentist | 14800 Kruse Oaks Blvd, Suite A, Lake Oswego, OR 97035-8603 | 2008-07-31 |
| 1871755587 | John Lindsay Tullis Jr. | Dentist | 16463 Boones Ferry Rd Ste 200, The Olson Memorial Clinic, Lake Oswego, OR 97035-4375 | 2008-06-25 |
| 1467668707 | Jon Christopher Robinson | Dentist | 310 N State St, Suite 310, Lake Oswego, OR 97034-3261 | 2007-05-15 |
| 1831319474 | The Art of Smilemaking | Dentist | 4200 Sw Mercantile Dr, Ste 740, Lake Oswego, OR 97035 | 2007-04-26 |
| 1386861789 | Ligia Ines Morrison | Dentist | 4200 Sw Merchantile Drive, Suite 740, Lake Oswego, OR 97035 | 2007-04-19 |
| 1275759953 | S. William Cheah | Dentist | 601 1st St Ste E, Lake Oswego, OR 97034-2370 | 2007-04-18 |
| Find all providers in LAKE OSWEGO | ||||
| City | LAKE OSWEGO |
| Zip Code | 97034 |
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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.