Physician Assistant
LISA BLAKLEY PA
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1649031642 · enumerated 2024-01-17 · record updated 2025-02-24. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Practice location 2222 NW LOVEJOY ST STE 422, PORTLAND, OR, 97210-5102 (503) 227-7117 Fax (503) 227-7120 Google Maps Apple Maps OpenStreetMap
- Mailing address 541 NE 20TH AVE STE 225, PORTLAND, OR, 97232-2895 (503) 963-2801 Google Maps Apple Maps OpenStreetMap
Specialties
- Physician Assistant 363A00000X · Primary · License PA220196 OR
In this directory
Locations and evidence
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Practice location
PORTLAND, OR, 972105102
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.