DEPARTMENT OF INSURANCE

Name	Blank, William Edward	DOIID	742505	NAIC NPN	2542895

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date	Designated Home State
Active	Non Resident	Independent Adjuster	Property & Casualty	11/15/2010		6/30/2026

*If a status is Pending, Pending Replacement,or the record displays Affidavit on File, click on them for more details.

No License Renewal Information

NOTE: Licensee may renew up to 6 months prior to Next Compliance Date. Licensees subject to CE must complete CE requirements before Next Compliance Date in order to successfully complete the License Renewal Process.

Address Information

Type	Address
Business / Home Office	National Claims Management 4000 Kruse Way Pl Ste 2-260Lake Oswego, OR 970355541
Mailing	22794 SW 106th Ave Tualatin, OR 97062
Residence	Not Public Information

Phone Information

Type	Phone
Business / Home Office	(503) 636-1266 Ext-208