What is Paula Blacketor's NPI number?

The NPI number assigned to this healthcare provider is 1184718611, enumerated as a individual on October 2, 2006.

Where is the provider located?

The provider is located at 10100 SE SUNNYSIDE RD CLACKAMAS, OR 97015 and the phone number is (503) 571-2880.

What is the provider's specialty?

The provider's specialty is Obstetrics & Gynecology with taxonomy code 207V00000X.

DR. PAULA DAWN BLACKETOR M.D. - NPI 1184718611 - Obstetrics & Gynecology in Clackamas, OR

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About Dr. Paula Dawn Blacketor M.d. NPPES

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

DR. PAULA DAWN BLACKETOR M.D. (NPI 1184718611) is an individual obstetrics & gynecology provider in Clackamas, Oregon, licensed in Oregon (MD16840) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1184718611

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameDR. PAULA DAWN BLACKETORCredential: M.D.

Location Address10100 SE SUNNYSIDE RDClackamas, OR 97015-8970

Mailing Address10100 Se Sunnyside RdClackamas, OR 97015-8970

Phone(503) 571-2880

Sole ProprietorYes

Enumeration DateOctober 2, 2006

Last NPPES UpdateJuly 16, 2007

✔ NPI 1184718611 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in OR · MD16840

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

10100 SE SUNNYSIDE RD, Clackamas, OR 97015

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