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Michael G. Blackburn, M.D. , Inc. P.S.

Primary Care Clinic/Center in Puyallup, WA · enumerated 2008 · authorized official Michael Blackburn, Owner.

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

National Provider Identifier

1285801480

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Registry record

Entity type Organization (Type 2)
Legal business name Michael G. Blackburn, M.D. , Inc. P.S.
Practice address 201 15th Ave Sw Ste C, Puyallup, WA, 98371
Phone (253) 841-4243
Fax (253) 864-9452
Enumeration date May 15, 2008
Last updated in NPPES Jul 23, 2019

Taxonomy & classification

261QP2300X Primary Care Clinic/Center Ambulatory Health Care Facilities · License MD00019306 (WA) Primary

Authorized official

Name Michael Blackburn
Title Owner
Phone (253) 841-4243

Other identifiers

Identifier Type State Issuer
1008895 Medicaid WA -
BL4674 Other WA REGENCE
110008458 Other - RAILROAD MEDICARE

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

What is the NPI number for Michael G. Blackburn, M.D. , Inc. P.S.?
The NPI for Michael G. Blackburn, M.D. , Inc. P.S. is 1285801480, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Michael G. Blackburn, M.D. , Inc. P.S.?
NPPES lists Michael Blackburn (Owner) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2019-07-23.