Roger P Blair, MD
Individual provider Active NPI Diagnostic Radiology Physician · Pendleton, OR
NPI 1376624197 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1376624197
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- License
- MD20168 (OR)
- Practice address
- 1100 Southgate
Suite 7
Pendleton, OR 97801-3974 - Phone
- (541) 276-2431
- Fax
- (541) 276-1947
- NPI assigned
- Oct 18, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | MD20168 | OR | Yes |
Addresses
Primary practice location
1100 Southgate
Suite 7
Pendleton, OR 97801-3974
Mailing address
1100 Southgate
Suite 7
Pendleton, OR 97801-3974
Phone (541) 276-2431
Other providers in Pendleton, OR
- Courtney Bingham
- Diana Bingham
- Gary Blackburn
- Calvin Blackham
- Nicholus Blair
- Derek James Blankenship
- Shannon Cristine Blood
- Blue Mountain Chiropractic Clinic
- Blue Mountain Diagnostic Imaging, Inc
- Blue Mountain Foot Specialists Inc
All providers in Pendleton, OR · Diagnostic Radiology Physician in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.