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NPI Code Detail

MEDICARE: BLAIR D HALPERIN M.D.

MEDICARE: BLAIR D HALPERIN M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RC0001XClinical Cardiac Electrophysiology PhysicianMD14423OR

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3P00946516OTHERORRR MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11111996OTHERWAWA WELFARE
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1447258710
Entity Type Code : Individual
Provider Name (Legal Business Name) : BLAIR D HALPERIN M.D.
Provider Business Mailing Address
First Line : PO BOX 3158
Second Line :
City : PORTLAND
State : OR
Zip : 97208-3158
Country : US
Telephone Number : 503-215-6494
Fax Number : 503-215-6644
Provider Business Practice Location Address
First Line : 2500 NE NEFF RD
Second Line :
City : BEND
State : OR
Zip : 97701-6015
Country : US
Telephone Number : 541-388-4333
Fax Number : 541-388-3446
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/12/2005
Last Update Date : 02/12/2024

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Directions to “ BLAIR D HALPERIN M.D.” Practice Location

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