1982688545 NPI number — DR. GRETCHEN KARIN BLYSS BA, DC

Table of content: DR. GRETCHEN KARIN BLYSS BA, DC (NPI 1982688545)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1982688545 NPI number — DR. GRETCHEN KARIN BLYSS BA, DC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BLYSS
Provider First Name:
GRETCHEN
Provider Middle Name:
KARIN
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
BA, DC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1982688545
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/14/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
111 SW COLUMBIA ST
Provider Second Line Business Mailing Address:
SUITE 100
Provider Business Mailing Address City Name:
PORTLAND
Provider Business Mailing Address State Name:
OR
Provider Business Mailing Address Postal Code:
97201-5848
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
503-222-0551
Provider Business Mailing Address Fax Number:
503-224-9619

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
111 SW COLUMBIA ST
Provider Second Line Business Practice Location Address:
SUITE 100
Provider Business Practice Location Address City Name:
PORTLAND
Provider Business Practice Location Address State Name:
OR
Provider Business Practice Location Address Postal Code:
97201-5848
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
503-222-0551
Provider Business Practice Location Address Fax Number:
503-224-9619
Provider Enumeration Date:
12/06/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 111N00000X , with the licence number:  713587 , registered in the state of OR ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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