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MICHAEL G. BLACKBURN, M.D. , INC. P.S.
NPI 1285801480
Clinic/Center - Primary Care in Puyallup, WA

Active since May 15, 2008
201 15TH AVE SW STE C, PUYALLUP, WA 98371(253) 841-4243(253) 864-9452 Get Directions Write a Review

NPPES record last updated: July 23, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Michael G. Blackburn, M.d. , Inc. P.s. NPPES

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

MICHAEL G. BLACKBURN, M.D. , INC. P.S. (NPI 1285801480) is a healthcare organization registered as a primary care in Puyallup, Washington and active in the NPI registry since May 2008. The organization lists Michael G. Blackburn, Owner, as its authorized official.

NPPES Registry Identity

NPI1285801480
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameMICHAEL G. BLACKBURN, M.D. , INC. P.S.
Location Address201 15TH AVE SW STE CPuyallup, WA 98371-7495
Mailing Address201 15th Ave Sw Ste CPuyallup, WA 98371-7495 · (253) 841-4243 · Fax (253) 864-9452
Phone(253) 841-4243
Fax(253) 864-9452
Organization SubpartNo
Authorized OfficialMichael G. BlackburnOwner · (253) 841-4243
Enumeration DateMay 15, 2008
Last NPPES UpdateJuly 23, 2019
✔ NPI 1285801480 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 WA · MD00019306
201 15TH AVE SW STE C, Puyallup, WA 98371
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Other Identifiers 3

Medicaid1008895WA
Other110008458Railroad Medicare
OtherBL4674WA · Regence

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHAEL GREGORY BLACKBURN MD
Internal Medicine
201 15TH AVE SW STE C
PUYALLUP, WA 98371
Pierce County (253) 841-4243

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 Michael G. Blackburn, M.D. , Inc. P.S.'s NPI number?

The NPI number for Michael G. Blackburn, M.D. , Inc. P.S. is 1285801480. It was assigned to this organization in the NPPES registry on May 15, 2008.

Where is Michael G. Blackburn, M.D. , Inc. P.S. located?

Michael G. Blackburn, M.D. , Inc. P.S. is located at 201 15th Ave SW Ste C, Puyallup, WA 98371. The listed phone number is (253) 841-4243.

What is Michael G. Blackburn, M.D. , Inc. P.S.'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 Michael G. Blackburn, M.D. , Inc. P.S. was last updated on July 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.