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ML BLETTEL MD
NPI 1083985428
Clinic/Center - Primary Care in Portland, OR

Active since January 17, 2012
5559 SW 85TH AVE, PORTLAND, OR 97225(503) 894-9464(503) 926-8397 Get Directions Write a Review

NPPES record last updated: May 14, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ml Blettel Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ML BLETTEL MD (NPI 1083985428) is a healthcare organization registered as a primary care in Portland, Oregon and active in the NPI registry since January 2012. The organization lists Milton Louis Blettel, Member Manager, as its authorized official.

NPPES Registry Identity

NPI1083985428
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameML BLETTEL MD
Location Address5559 SW 85TH AVEPortland, OR 97225-1709
Mailing Address5559 Sw 85th AvePortland, OR 97225-1709 · (503) 894-9464 · Fax (503) 926-8397
Phone(503) 894-9464
Fax(503) 926-8397
Organization SubpartNo
Authorized OfficialMilton Louis BlettelMember Manager · (503) 894-9464
Enumeration DateJanuary 17, 2012
Last NPPES UpdateMay 14, 2012
✔ NPI 1083985428 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in OR · MD15147
5559 SW 85TH AVE, Portland, OR 97225
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Other Identifiers 3

Medicare UPINC92232OR
Medicaid078444OR
Medicare PINR163741OR

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ml Blettel MD's NPI number?

The NPI number for Ml Blettel MD is 1083985428. It was assigned to this organization in the NPPES registry on January 17, 2012.

Where is Ml Blettel MD located?

Ml Blettel MD is located at 5559 SW 85th Ave, Portland, OR 97225. The listed phone number is (503) 894-9464.

What is Ml Blettel MD's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Ml Blettel MD was last updated on May 14, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.