Active NPI
Deborah A Blanchard, DO
- Diagnostic Radiology Physician
- Portland, OR
National Provider Identifier
1497790448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- DO21399
- Practice address
- 1015 NW 22ND Ave
Ste T240
Portland, OR 97210-3025 - Phone
- (503) 413-7711
- Fax
- (503) 227-0218
- NPI assigned
- Jun 16, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | DO21399 | OR | Primary |
Addresses
Primary practice location
1015 NW 22ND Ave
Ste T240
Portland, OR 97210-3025
Mailing address
PO Box 3730
#Dinw103
Portland, OR 97208-3730
Phone (800) 878-6698
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 130029 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Open Advanced MRI of Gresham LLC | Diagnostic Radiology | Past | Accepting new patients |
| Open Advanced MRI of Vancouver PS | Past | Accepting new patients | |
| Open Advanced MRI Portland III, LLC | Diagnostic Radiology | Past | Accepting new patients |
| TS Radiology Billings, LLC | Diagnostic Radiology | Past | Accepting new patients |
| Open Advanced MRI of Portland, LLC | Diagnostic Radiology | Past | Accepting new patients |
| Open Advanced MRI of Vancouver, LLC | Diagnostic Radiology | Past | Accepting new patients |
| Radiology Consultants, Inc | Diagnostic Radiology | Past | Accepting new patients |
| Open Advanced MRI Longview LLC | Diagnostic Radiology | Past | Accepting new patients |
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Gresham, OR
- NPI 1609822683
-
- Diagnostic Radiology Physician
- Portland, OR
- NPI 1861447450
-
- Diagnostic Radiology Physician
- Portland, OR
- NPI 1184670754
-
- Diagnostic Radiology Physician
- Portland, OR
- NPI 1023050457
-
- Diagnostic Radiology Physician
- Portland, OR
- NPI 1669413514
-
- Diagnostic Radiology Physician
- Longview, WA
- NPI 1316992720
-
- Surgical Technologist
- Vancouver, WA
- NPI 1508203944
-
- Diagnostic Radiology Physician
- Vancouver, WA
- NPI 1770530560
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1325548800000",
"number": "1497790448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3730",
"address_2": "#DINW103",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972083730",
"telephone_number": "800-878-6698",
"fax_number": "918-665-4180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1015 NW 22ND AVE",
"address_2": "STE T240",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972103025",
"telephone_number": "503-413-7711",
"fax_number": "503-227-0218"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLANCHARD",
"first_name": "DEBORAH",
"middle_name": "A",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-16",
"last_updated": "2012-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "OR",
"license": "DO21399",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "130029",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.