Provider Demographics
NPI:1013930346
Name:BLAIR, DONALD MYERS (DDS, ND)
Entity Type:Individual
Prefix:DR
First Name:DONALD
Middle Name:MYERS
Last Name:BLAIR
Suffix:
Gender:M
Credentials:DDS, ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29320 NE 62ND PL
Mailing Address - Street 2:
Mailing Address - City:CARNATION
Mailing Address - State:WA
Mailing Address - Zip Code:98014-9503
Mailing Address - Country:US
Mailing Address - Phone:206-730-8408
Mailing Address - Fax:
Practice Address - Street 1:29320 NE 62ND PL
Practice Address - Street 2:
Practice Address - City:CARNATION
Practice Address - State:WA
Practice Address - Zip Code:98014-9503
Practice Address - Country:US
Practice Address - Phone:206-730-8408
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-26
Last Update Date:2020-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA4186122300000X
WANT00000404175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
No122300000XDental ProvidersDentist