Alexandra Ann Blaine

NPI #1730613837 in Roseburg, Oregon

Provider Information

NPI Number
1730613837
Entity Type
Individual
Name
Alexandra Ann Blaine
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Enumeration Date
Apr 14, 2017
Last Updated
Mar 21, 2025

Practice Location

Address
2570 NW EDENBOWER BLVD STE 100
State
Oregon
ZIP Code
97471-6214
Phone
(541) 677-7200

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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