TODD DAVID BLAKLEY PHYSICIAN ASSISTANT NPI 1861405227

NPI Information

  • NPI: 1861405227
  • Provider Name: TODD DAVID BLAKLEY, PHYSICIAN ASSISTANT
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 14406 NE 20TH AVE
    VANCOUVER, WA
    ZIP 98686
  • Phone: (360) 571-3053

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NPI Details

Todd David Blakley, PHYSICIAN ASSISTANT is a medical physician assistant in Vancouver, WA with 29 years of experience. Todd David Blakley, PHYSICIAN ASSISTANT NPI is 1861405227. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

14406 NE 20TH AVE
VANCOUVER, WA
ZIP 98686-448
Phone: (360) 571-3053

The NPI 1861405227 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/15/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AM0700XPhysician AssistantMedicalWA PA10003448WASHINGTONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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