MEDICARE: DR. ROBERT D BLOCH MD

Medicare Provider Information

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085R0202X	Diagnostic Radiology Physician	G74735	CA
2	2085R0202X	Diagnostic Radiology Physician	MD19884	OR
3	2085R0202X	Diagnostic Radiology Physician	MD00036458	WA
4	2085R0204X	Vascular & Interventional Radiology Physician	MD19884	OR
5	2085R0204X	Vascular & Interventional Radiology Physician	MD00036458	WA

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

NPI Number	:	1598727679
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT D BLOCH MD

Provider Business Mailing Address
First Line	:	747 52ND ST
Second Line	:
City	:	OAKLAND
State	:	CA
Zip	:	94609-1809
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	400 NE MOTHER JOSEPH PL
Second Line	:
City	:	VANCOUVER
State	:	WA
Zip	:	98664-3200
Country	:	US
Telephone Number	:	360-892-9664
Fax Number	:	360-892-9667

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/04/2006
Last Update Date	:	12/04/2025

400 NE MOTHER JOSEPH PL , CPLUMBIA ANESTHESIA GROUP PS SWMC
VANCOUVER, WA
98664-3200

Practice Phone: 360-667-3056
Practice Fax: 360-666-0466