Carol Elizabeth Blenning, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD19941 Issued in OR

Practice address

3930 SE Division St
Portland, OR 97202-1643

Phone

(503) 418-3900

Fax

(503) 418-3939

NPI assigned

Nov 9, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1131494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505865600000",
    "number": "1871574640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2055 NW SAVIER ST.",
            "address_2": "SUITE 201",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972091773",
            "telephone_number": "503-494-8417",
            "fax_number": "503-346-8021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3930 SE DIVISION ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972021643",
            "telephone_number": "503-418-3900",
            "fax_number": "503-418-3939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLENNING",
        "first_name": "CAROL",
        "middle_name": "ELIZABETH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-09",
        "last_updated": "2017-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD19941",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "81880",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Esther Bleier
• Carrie Bleiweiss, L.AC.
• Amela Blekic, M.D.
• Chris B. Blem, PHARM.D.
• Kelsey Blem
• Wendy Barbara Blenning, MSW, LCSW
• Amma Blessing, LMT
• David Rae Blessing, M.D.
• Daniel M Blessinger
• Bill Blessington, MD

• Family Medicine Physician in Portland, OR
• Providers in Portland, OR by specialty
• Family Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2017; 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.