BLAYNE STANDAGE, MD
Surgery
Active
Individual
NPI: 1164410874
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Surgery | 208600000X | Yes | MD12970 (OR) |
Frequently Asked Questions
NPI 1164410874 is the National Provider Identifier for BLAYNE STANDAGE, MD, a Surgery provider located in Portland, OR. This NPI was enumerated on October 7, 2005.
BLAYNE STANDAGE, MD practices at 1130 NW 22ND AVE, SUITE300, Portland, OR 97210.
Quick Facts
- NPI
- 1164410874
- Type
- Individual
- Enumerated
- Oct 7, 2005
- Last Updated
- Mar 4, 2011
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