Blake D. St. Clair
Dermatology Physician · Vancouver, WA
Practice location
2525 NE 139TH St Ste 240Vancouver, WA 98686-2719
- Phone
- (360) 882-2778
NPI record
- NPI
- 1376006882
- Entity type
- Individual (Type 1)
- Enumeration date
- April 11, 2019
- Last updated
- September 20, 2023
- Certified
- September 20, 2023
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Physician Primary | 207N00000X |
MD61417775 | WA |
| Student in an Organized Health Care Education/Training Program | 390200000X |
— | — |
Mailing address
PO Box 4825Portland, OR 97208-4825
Other practice locations (1)
- 4301 W Markham St # 576, Little Rock, AR 72205-7101 · (501) 526-6994
About Blake St. Clair
Blake D. St. Clair is a healthcare provider registered in the NPI registry with the primary taxonomy Dermatology Physician (code 207N00000X). The practice location is 2525 NE 139TH St Ste 240, Vancouver, WA 98686-2719. The NPI number 1376006882 was assigned on April 11, 2019 and the record was last updated on September 20, 2023.
Blake St. Clair lists a license in the registry: #MD61417775 (WA) for Dermatology Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Blake D. St. Clair?
The NPI number is 1376006882.
What is the phone number of Blake St. Clair?
The phone number listed for the practice location is (360) 882-2778.
Where is Blake St. Clair located?
2525 NE 139TH St Ste 240, Vancouver, WA 98686-2719.
What is the taxonomy code for Blake St. Clair?
The primary taxonomy code is 207N00000X – Dermatology Physician; 1 more listed above.
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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