Provider Demographics
NPI:1609371830
Name:BLAIR, JASON PATRICK (MD)
Entity Type:Individual
Prefix:
First Name:JASON
Middle Name:PATRICK
Last Name:BLAIR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2511 M AVE STE B
Mailing Address - Street 2:
Mailing Address - City:ANACORTES
Mailing Address - State:WA
Mailing Address - Zip Code:98221-3897
Mailing Address - Country:US
Mailing Address - Phone:360-293-3101
Mailing Address - Fax:360-299-4213
Practice Address - Street 1:2511 M AVE STE B
Practice Address - Street 2:
Practice Address - City:ANACORTES
Practice Address - State:WA
Practice Address - Zip Code:98221-3897
Practice Address - Country:US
Practice Address - Phone:360-293-3101
Practice Address - Fax:360-299-4213
Is Sole Proprietor?:No
Enumeration Date:2018-03-28
Last Update Date:2023-08-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WAMD.MD.61443822207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine