DR. BRIAN WARNER BLAIR (NPI# 1710298385) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710298385 |
| Entity Type | Individual |
| Full Name | DR. BRIAN WARNER BLAIR |
| Credential | M.D. |
| Practice Address |
19250 Sw 65th Ave Ste 100 Tualatin OR 97062-7707 |
| Mailing Address |
8645 Se Sunnybrook Blvd Ste 200 Clackamas OR 97015-6841 |
| Practice Telephone | 5036912519 |
| Practice Fax Number | 5036598984 |
| Mailing Telephone | 5036591694 |
| Mailing Fax Number | 5036598984 |
| Enumeration Date | 2010-06-29 |
| Last Update Date | 2020-06-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | MD162295 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 500661973 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770826372 | Brian Matthew Blair | Urology | 24900 Se Stark St Ste 103, Gresham, OR 97030 | 2013-04-02 |
| 1841587565 | Brian J Blair | Internal Medicine | 2211 Chapel Ave W Ste 401, Cherry Hill, NJ 08002-2062 | 2011-07-01 |
| 1447203245 | Brian C Blair | Pharmacist | 120 W Washington, Millstadt, IL 62260 | 2006-05-19 |
| 1407846868 | Brian Heath Blair | Family Medicine | 2263 Hwy 65 N, Marshall, AR 72650-1266 | 2005-10-26 |
| 1114491958 | Brian David Blair | Nurse Practitioner | 120 E 2nd St, Erie, PA 16507-1537 | 2019-01-15 |
| 1265843494 | Brian Austin Blair | Physical Therapist | 125 N Lincoln St Ste H, Dixon, CA 95620-3260 | 2014-05-09 |
| 1447457528 | Brian Blair | Physical Therapist | 6 Davis Rd W, Old Lyme, CT 06371-1448 | 2007-07-02 |
| 1578786075 | Brian K Blair | Orthopaedic Surgery | 3545 Highway 17, Suite 200, Murrells Inlet, SC 29576-5113 | 2007-04-11 |
| 1316998677 | Brian Blair | Pediatrics | 1920 E Cambridge Ave, #301, Phoenix, AZ 85006-1459 | 2006-05-12 |
| Street Address |
19250 SW 65TH AVE STE 100 |
| City | TUALATIN |
| State | OR |
| Zip Code | 97062-7707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659317386 | Oregon Pediatrics- Meridian Park, LLC | Pediatrics | 19250 Sw 65th Ave Ste 100, Tualatin, OR 97062-7707 | 2006-06-21 |
| 1154683506 | Nazaneen Marie Eshragh | Pediatrics | 19250 Sw 65th Ave Ste 100, Tualatin, OR 97062-7707 | 2012-06-12 |
| 1366750499 | Sarah Patterson | Registered Nurse | 19250 Sw 65th Ave Ste 100, Tualatin, OR 97062-7707 | 2010-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467018739 | Activeedge Tualatin, LLP | Physical Therapist | 19150 Sw 90th Avenue, Suite 200, West Linn, OR 97062 | 2019-05-13 |
| 1932607934 | Naturalways Pediatrics | Clinic/Center | 18813 Sw Martiazzi Ave, Tualatin, OR 97062 | 2018-01-25 |
| 1831646280 | Elizabeth Erin Tafesse | Behavioral Analyst | 18765 Sw Boones Ferry Rd Suite 100, Tualatin, OR 97062 | 2016-09-01 |
| 1962851311 | Ana Mercedes Cerritos-sanchez | Community Health Worker | 19355 Sw 65th Ave Apt A5, Tualatin, OR 97062 | 2016-06-07 |
| 1952759318 | William Luke Summers | Counselor | 18840 Southwest Boones Ferry Rd, Suite 208, Tualatin, OR 97062 | 2016-05-26 |
| 1730536913 | Krystle Alligood | Behavioral Analyst | 18768 Sw Boones Ferry Road, Tualatin, OR 97062 | 2016-05-18 |
| 1760869739 | Oregon City Medical Nw, Inc | Clinic/Center | 6464 Sw Borland Road #d-4, Tualatin, OR 97062 | 2015-04-29 |
| 1396148904 | Tracy Filley | Clinical Nurse Specialist | 18840 Sw Boones Ferry Rd, Suite 208, Tualatin, OR 97062 | 2014-09-28 |
| 1043646474 | Michelle Lords | Registered Nurse | 7668 Sw Mohawk Street, Tualatin, OR 97062 | 2013-09-17 |
| 1871930750 | Sharon Ruth Frank | Social Worker | 7668 Sw Mohawk St., Aps Healthcare, Tualatin, OR 97062 | 2013-05-31 |
| Find all providers in zip 97062 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659317386 | Oregon Pediatrics- Meridian Park, LLC | Pediatrics | 19250 Sw 65th Ave Ste 100, Tualatin, OR 97062-7707 | 2006-06-21 |
| 1699764613 | Robert M Craft | Pediatrics | 19206 Sw 65th Ave, Ste 340, Tualatin, OR 97062 | 2005-10-21 |
| 1154683506 | Nazaneen Marie Eshragh | Pediatrics | 19250 Sw 65th Ave Ste 100, Tualatin, OR 97062-7707 | 2012-06-12 |
| 1962768622 | Julia M Carr | Pediatrics | 19260 Sw 65th Ave, Suite 340, Tualatin, OR 97062-5701 | 2012-04-06 |
| 1073803235 | Kimberly Mersch Boyer | Pediatrics | 19260 Sw 65th Ave Ste 340, Tualatin, OR 97062-5710 | 2011-04-08 |
| 1902127368 | Laurel Bradford | Pediatrics | 19260 Sw 65th Ave, Suite 340, Tualatin, OR 97062-5701 | 2010-06-18 |
| 1316137235 | Childrens Clinic PC | Pediatrics | 19260 Sw 65th Ave, Ste 340, Tualatin, OR 97062-5701 | 2007-07-26 |
| 1326134800 | Miriam Frances Heiferman | Pediatrics | 19185 Sw 90th Ave, Tualatin, OR 97062-7558 | 2006-10-04 |
| 1013023191 | Laura Keatley Murphy | Pediatrics | 19260 Sw 65th Ave, Ste 301, Tualatin, OR 97062-5701 | 2006-08-22 |
| 1649385840 | Philip Wu | Pediatrics | 19185 Sw 90th Ave, Tualatin, OR 97062-7558 | 2006-08-20 |
| Find all providers in TUALATIN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.