Kenneth Erwin Blake, D.M.D.

General Practice Dentistry · Aloha, OR

Individual Active NPI

NPI number 1346396264

Practice location

3400 SW 187TH Ave
Suite 2
Aloha, OR 97006-3131
Phone
(503) 642-2834
Fax
(503) 642-2834

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NPI record

NPI
1346396264
Entity type
Individual (Type 1)
Enumeration date
January 25, 2007
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 5025 OR

About Dr. Blake

Kenneth Erwin Blake, D.M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 3400 SW 187TH Ave, Suite 2, Aloha, OR 97006-3131. The NPI number 1346396264 was assigned on January 25, 2007 and the record was last updated on July 8, 2007.

Dr. Blake lists a license in the registry: #5025 (OR) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Kenneth Erwin Blake, D.M.D.?

The NPI number is 1346396264.

What is the phone number of Dr. Blake?

The phone number listed for the practice location is (503) 642-2834.

Where is Dr. Blake located?

3400 SW 187TH Ave, Suite 2, Aloha, OR 97006-3131.

What is the taxonomy code for Dr. Blake?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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