IndividualActive
Alexandra Blaine
NPI 1730613837 · Physician Assistant · Roseburg, OR
Provider details
- NPI number
- 1730613837
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- PA182468 (OR)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
2570 Nw Edenbower Blvd Ste 100
Roseburg, OR 97471-6214
Phone: (541) 677-7200
Approximate (ZIP-level) locationGet directions
Mailing address
2570 Nw Edenbower Blvd Ste 100
Roseburg, OR 97471-6214
Registry dates
- Enumerated
- 2017-04-14
- Last updated
- 2025-03-21
- Certified
- 2025-03-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.