STEPHEN MICHAEL BLUM MD NPI 1861441560

NPI Information

NPI: 1861441560
Provider Name: STEPHEN MICHAEL BLUM, MD
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

Address:
1001 NW LOVEJOY ST
UNIT 706
PORTLAND, OR
ZIP 97209
Phone: (503) 719-6544
Get Directions

Stephen Michael Blum, MD is a diagnostic radiology radiology in Portland, OR. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Stephen Michael Blum, MD NPI is 1861441560. 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:

1001 NW LOVEJOY ST
UNIT 706
PORTLAND, OR
ZIP 97209-566
Phone: (503) 719-6544
Fax: (866) 898-2159

The enumeration date for this NPI number is 5/9/2006 and was last updated on 3/7/2023.

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
1	2085N0700X	Radiology	Neuroradiology	036077134	ILLINOIS	No
2	2085R0202X	Radiology	Diagnostic Radiology	0036077134	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	808256100	MEDICAID	IDAHO
2	8529588	MEDICAID	WASHINGTON
3	1861441560	OTHER		TRICARE NORTH
4	402417602	MEDICAID	MARYLAND
5	P00922031	OTHER	OREGON	RAILROAD MCR
6	1451169	MEDICAID	LOUISIANA
7	235428	MEDICAID	ARIZONA
8	036077134	MEDICAID	ILLINOIS
9	2749477	MEDICAID	OHIO
10	00598870	MEDICAID	NEW YORK
11	402417601	MEDICAID	MARYLAND

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: 4/28/2024

NPI Synchronization or Removal

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