MD Stephen Michael Blum, NPI 1861441560
Diagnostic Radiology Physician in Portland, OR, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1861441560 |
| NPI Entity Type | Individual |
| Provider Name | MD Stephen Michael Blum |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Provider Location Address | 1001 Nw Lovejoy St, Unit 706, Portland, OR, US |
| Provider Mailing Address | 23625 Commerce Park, Suite 204, Beachwood, OH, US, 44122 |
| Is Sole Proprietor? | No |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Diagnostic Radiology Physician |
| Classification | |
| Group | |
| License No. | 0036077134 |
| License State | IL |
| Description | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
Secondary Taxonomies
| Taxonomy Code | Group | Classification | License No. | State | Primary? |
|---|---|---|---|---|---|
| 036077134 | IL | No |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 808256100 | ID | MEDICAID | 05 |
| 8529588 | WA | MEDICAID | 05 |
| BB4757956 | IL | DEA | 01 |
| 1861441560 | TRICARE NORTH | 01 | |
| 402417602 | MD | MEDICAID | 05 |
| P00922031 | OR | RAILROAD MCR | 01 |
| 1451169 | LA | MEDICAID | 05 |
| 235428 | AZ | MEDICAID | 05 |
| 036077134 | IL | MEDICAID | 05 |
| 2749477 | OH | MEDICAID | 05 |
| 00598870 | NY | MEDICAID | 05 |
| 402417601 | MD | MEDICAID | 05 |
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