IndividualActive
Douglas Blackall, MD
NPI 1891885380 · Clinical Pathology Physician · Portland, OR
Provider details
- NPI number
- 1891885380
- Entity type
- Individual
- Primary specialty
- Clinical Pathology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- MD202871 (OR)
Mailing address
Po Box 3395
Portland, OR 97208-3395
Registry dates
- Enumerated
- 2006-10-13
- Last updated
- 2021-01-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.