Individual provider Active NPI

Andrea Michelle Keller Blazic, D.O.

  • Obstetrics & Gynecology Physician
  • Astoria, OR
National Provider Identifier
1629236146
Registry record updated Jan 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
DO192445 Issued in OR
Practice address
2265 Exchange St
Astoria, OR 97103-3331
Phone
(503) 338-7595
Fax
(503) 325-4905
NPI assigned
May 30, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X DO192445 OR Primary

Addresses

Primary practice location

2265 Exchange St
Astoria, OR 97103-3331

Mailing address

2111 Exchange St
Astoria, OR 97103-3329
Phone (503) 325-4321

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
I20191101002355 OR Practitioner - Obstetrics/Gynecology 6800044223 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Charles Health System IncGroup PAC ID 3870402852, 174 clinicians
Columbia Lutheran CharitiesGroup PAC ID 5294643359, shared by 8 NPIs, 110 clinicians

Practice addresses (Care Compare)

1253 NW Canal Blvd
Redmond, OR 97756-1334
Phone (541) 548-8131

2265 Exchange St
Astoria, OR 97103-3331
Phone (503) 338-7595

2500 NE Neff Rd
Bend, OR 97701-6015
Phone (541) 706-2768

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia Lutheran Charities CurrentSince Dec 16, 2025 Accepting new patients
St. Charles Health System, Inc. CurrentSince Mar 6, 2023 Accepting new patients
Obhg Oregon PC Obstetrics & Gynecology CurrentSince Aug 31, 2019 Accepting new patients
St. Charles Health System, Inc. CurrentSince Oct 1, 2019 Accepting new patients
Columbia Lutheran Charities Obstetrics & Gynecology CurrentSince Dec 16, 2025 Accepting new patients
Columbia Lutheran Charities CurrentSince Dec 16, 2025 Accepting new patients
St. Charles Health System, Inc. Family Medicine CurrentSince Mar 6, 2023 Accepting new patients
St. Charles Health System, Inc. CurrentSince Oct 1, 2019 Accepting new patients
St. Charles Health System, Inc. Current Accepting new patients
St. Charles Health System, Inc. Past Accepting new patients
Columbia Lutheran Charities Past Accepting new patients
Columbia Lutheran Charities Family Medicine Past Accepting new patients

Locations

29358 Network Pl
Chicago, IL 60673

2265 Exchange St
Astoria, OR 97103
Phone (503) 338-4075

2111 Exchange St
Astoria, OR 97103
Phone (503) 325-4321

2500 NE Neff Rd
Bend, OR 97701
Phone (541) 388-4333

1885 NE Purcell Blvd
Bend, OR 97701
Phone (541) 322-2700

2825 E Barnett Rd
Medford, OR 97504
Phone (541) 282-6770

1253 NW Canal Blvd
Redmond, OR 97756
Phone (541) 548-8131

340 NW 5th St
Redmond, OR 97756
Phone (541) 504-2218

340 NW 5th St
Ste 101
Redmond, OR 97756
Phone (734) 545-3348

211 NW Larch Ave
Redmond, OR 97756
Phone (541) 548-2164

Interoperability endpoints

  • Direct secure messaging: akeller93655@secure.stcharleshealthcare.org
  • Direct secure messaging: akeller@3ef34f84.micromddirect.com

Organizations & group practices 12

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1212105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767744000000",
    "number": "1629236146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2111 EXCHANGE ST",
            "city": "ASTORIA",
            "state": "OR",
            "postal_code": "971033329",
            "telephone_number": "503-325-4321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2265 EXCHANGE ST",
            "city": "ASTORIA",
            "state": "OR",
            "postal_code": "971033331",
            "telephone_number": "503-338-7595",
            "fax_number": "503-325-4905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLER BLAZIC",
        "first_name": "ANDREA",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-30",
        "last_updated": "2026-01-07",
        "certification_date": "2026-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OR",
            "license": "DO192445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Astoria, OR

Sources for this page

Verify at the official NPI Registry.