Individual provider Active NPI

Deborah A Blanchard, DO

  • Diagnostic Radiology Physician
  • Portland, OR
National Provider Identifier
1497790448
Registry record updated Jan 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
DO21399 Issued in OR
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

Updated by the provider on Jan 3, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
130029MedicaidOR

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

OrganizationSpecialtyStatusNew patients
Open Advanced MRI of Gresham LLC Diagnostic Radiology Past Accepting new patients
Open Advanced MRI of Vancouver PS PastSince Jun 1, 2013 Accepting new patients
Open Advanced MRI Portland III, LLC Diagnostic Radiology Past Accepting new patients
TS Radiology Billings, LLC Diagnostic Radiology PastSince Dec 12, 2021 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 PastSince Dec 12, 2021 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.

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.

Verify at the official NPI Registry.