Individual provider Active NPI

Letrice Blair, M.D.

  • Pediatrics Physician
  • Happy Valley, OR
National Provider Identifier
1104138452
Registry record updated Jun 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD163497 Issued in OR
Practice address
9300 SE 91St Ave Ste 200
Happy Valley, OR 97086-3762
Phone
(503) 261-1171
Fax
(503) 253-5989
NPI assigned
Jul 1, 2010
Last updated
Jun 17, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD163497 OR Primary

Addresses

Primary practice location

9300 SE 91St Ave Ste 200
Happy Valley, OR 97086-3762

Mailing address

PO Box 3096
Portland, OR 97208-3096
Phone (503) 466-1668

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140116001755 OR Practitioner - Pediatric Medicine 3678713625 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Willamette Family Medical Center Inc CurrentSince Jul 27, 2024 Accepting new patients
Metropolitan Pediatrics, LLC Pediatrics PastSince Sep 3, 2025 Accepting new patients

Locations

435 Lancaster Dr NE
Salem, OR 97301
Phone (503) 585-6388

Interoperability endpoints

  • Direct secure messaging: lblair94624@direct.lhs.org
  • Direct secure messaging: letrice.blair.p1@direct.wfamilymed.nextgenshare.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1277942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781654400000",
    "number": "1104138452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3096",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972083096",
            "telephone_number": "503-466-1668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9300 SE 91ST AVE STE 200",
            "city": "HAPPY VALLEY",
            "state": "OR",
            "postal_code": "970863762",
            "telephone_number": "503-261-1171",
            "fax_number": "503-253-5989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAIR",
        "first_name": "LETRICE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-01",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OR",
            "license": "MD163497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Happy Valley, OR

Sources for this page

Verify at the official NPI Registry.