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Michael Blackburn, MD
NPI 1063429652 · Internal Medicine Physician · Puyallup, WA
Michael Blackburn, MD is a Internal Medicine Physician provider in Puyallup, WA (NPI 1063429652).
Provider details
- NPI number
- 1063429652
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- MD00019306 (WA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
201 15th Ave Sw Ste C
Puyallup, WA 98371-7495
Phone: (253) 841-4243
Fax: (253) 864-9452
Street-level locationGet directions
Mailing address
201 15th Ave Sw Ste C
Puyallup, WA 98371-7495
Registry dates
- Enumerated
- 2006-08-03
- Last updated
- 2019-07-18
Frequently asked questions
- What is Michael Blackburn's NPI number?
- Michael Blackburn's National Provider Identifier (NPI) is 1063429652, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Michael Blackburn's specialty?
- Michael Blackburn is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Michael Blackburn located?
- Michael Blackburn's practice location on file with NPPES is 201 15th Ave Sw Ste C, Puyallup, WA 98371-7495.
- What is Michael Blackburn's phone number?
- The practice phone number listed in the NPPES registry for Michael Blackburn is (253) 841-4243.
- Is Michael Blackburn's NPI active?
- Yes — Michael Blackburn's NPI (1063429652) is active in the NPPES registry as of the last update on 2019-07-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.