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Blake Mcconnell, MD

Family Medicine Physician in Salem, OR · enumerated 2019.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1063074789

Verified

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Registry record

Entity type Individual (Type 1)
Name Blake Mcconnell
Credential MD
Sex Male
Practice address 2485 12th St Se, Salem, OR, 97302
Phone (503) 363-8047
Fax (503) 363-6571
Enumeration date Jul 2, 2019
Last updated in NPPES Sep 6, 2023

Taxonomy & licenses

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 12439658-1205 (UT) Secondary
207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License MD215853 (OR) Primary
MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where does Blake Mcconnell practice?
The practice location on file with NPPES is in Salem, OR. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Blake Mcconnell?
The National Provider Identifier (NPI) for Blake Mcconnell is 1063074789, a Type 1 (individual) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-09-06.