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Search › Oregon › 101YM0800X

Bryan Blalock

NPI 1790138188 · on the registry since 2016

Practice

Address
10180 Se Sunnyside Rd
Clackamas, OR 97015
Phone
(503) 571-0884
Organisation at this address
Brookside Center
Kaiser Permanente
Kaiser Permanente
Kaiser Permanente
Kaiser Permanente
Inferred from a shared address, not stated in the registry.
Clinicians at this address
776

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Licence states on file
NULL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-11-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon