Michael Allen Blankenship, A.P.R.N., P.M.H.N.P.

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

200950064NP Issued in OR

Practice address

10101 SE Main St Ste 3001
Portland, OR 97216-2458

Phone

(503) 261-5953

Fax

(503) 261-5954

NPI assigned

Dec 4, 2009

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Nurse Practitioner

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1259884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1083942825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 92900",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972920900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10101 SE MAIN ST STE 3001",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972162458",
            "telephone_number": "503-261-5953",
            "fax_number": "503-261-5954"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10300 S.W. East Ridge St.",
            "address_2": "Cedar Hills Hospital",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "97225",
            "country_code": "US",
            "telephone_number": "503-944-5000",
            "fax_number": "971-228-8018",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLANKENSHIP",
        "first_name": "MICHAEL",
        "middle_name": "ALLEN",
        "name_prefix": "Mr.",
        "credential": "A.P.R.N., P.M.H.N.P.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-12-04",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP60105167",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OR",
            "license": "200950064NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Blank, MSW
• Stephanie Blank
• Charles David Blanke, MD
• Jess W Blankenship, DDS
• Korie Jean Blankenship
• Sara Elizabeth Blankenship, AU.D.
• Jason Blanks
• Teresa Blanshine, CHN
• Sherrilynn Blanton
• Linda Blarjeske

• Nurse Practitioner in Portland, OR
• Providers in Portland, OR by specialty
• Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.