| William J. Blaumer | |
|
1355 Edgewater St Nw Salem OR 97304-4077 | |
| (503) 588-6960 | |
| (503) 365-0056 |
| Full Name | William J. Blaumer |
|---|---|
| Speciality | Dentist |
| Location | 1355 Edgewater St Nw, Salem, Oregon |
| Authorized Official Name and Position | Deana Jeanine Ballard (OFFICE MANAGER) |
| Authorized Official Contact | 5035886960 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| William J. Blaumer 1355 Edgewater St Nw Salem OR 97304-4077 Ph: (503) 588-6960 | William J. Blaumer 1355 Edgewater St Nw Salem OR 97304-4077 Ph: (503) 588-6960 |
| NPI Number | 1750526893 |
|---|---|
| Provider Enumeration Date | 12/03/2008 |
| Last Update Date | 12/03/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750526893 | NPI | - | NPPES |
| 91900 | Other | OR | UNITED CONCORDIA |
| 54495 | Other | OR | UNITED CONCORDIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 5206 (Oregon) | Secondary |
| 122300000X | Dentist | 5090 (Oregon) | Secondary |
| 122300000X | Dentist | 5026 (Oregon) | Primary |
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