MEDICARE: DR. PATRICIA D. BLOS'E 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
1	2084N0400X	Neurology Physician	MD22777	OR
2	2084P0800X	Psychiatry Physician	MD22777	OR
3	2084P0802X	Addiction Psychiatry Physician	MD22777	OR

General Provider Information

NPI Number	:	1710924220
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PATRICIA D. BLOS'E M.D.

Provider Business Mailing Address
First Line	:	1600 N COAST HWY
Second Line	:
City	:	NEWPORT
State	:	OR
Zip	:	97365-2357
Country	:	US
Telephone Number	:	541-574-6597
Fax Number	:	541-574-6623

Provider Business Practice Location Address
First Line	:	1600 N COAST HWY
Second Line	:
City	:	NEWPORT
State	:	OR
Zip	:	97365-2357
Country	:	US
Telephone Number	:	541-574-6597
Fax Number	:	541-574-6623

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

Provider Enumeration Date	:	06/01/2006
Last Update Date	:	09/11/2025

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