| Dr Letrice Blair, MD | |
|
16144 Se Happy Valley Town Center Dr Ste 210, Happy Valley, OR 97086-4257 | |
| (503) 486-7040 | |
| Not Available |
| Full Name | Dr Letrice Blair |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 16144 Se Happy Valley Town Center Dr Ste 210, Happy Valley, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104138452 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | MD163497 (Oregon) | Primary |
| Entity Name | Willamette Family Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649386418 PECOS PAC ID: 0749272201 Enrollment ID: O20040402000465 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Letrice Blair, MD Po Box 3096, Portland, OR 97208-3096 Ph: (503) 466-1668 | Dr Letrice Blair, MD 16144 Se Happy Valley Town Center Dr Ste 210, Happy Valley, OR 97086-4257 Ph: (503) 486-7040 |
Resa L Bradeen, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 9300 Se 91st Ave Ste 200, Happy Valley, OR 97086 Phone: 503-261-1171 Fax: 503-253-5989 | |
Dr. Richard J Barsotti, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 9300 Se 91st Ave Ste 200, Happy Valley, OR 97086 Phone: 503-261-1171 Fax: 503-253-5989 | |
Dr. Kathleen Marie Mooney, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 9300 Se 91st Ave, Suite 200, Happy Valley, OR 97086 Phone: 503-261-1171 | |
Miss Ellen E Cooper, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 9300 Se 91st Ave Ste 200, Happy Valley, OR 97086 Phone: 503-261-1171 | |
Dr. Sandra Sequeira, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 9300 Se 91st Ave, Ste 200, Happy Valley, OR 97086 Phone: 503-261-1171 Fax: 503-253-5989 | |
Katherine Elizabeth Hyde, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 9300 Se 91st Ave, Unit 200, Happy Valley, OR 97086 Phone: 503-261-1171 |