Blake Nathaniel Wenner - Portland, OR

Blake Nathaniel Wenner

Student in an Organized Health Care Education/Training Program in Portland, Oregon

NPI 1023545746

Blake Nathaniel Wenner is a Student in an Organized Health Care Education/Training Program based in Portland, OR. Blake Nathaniel Wenner practices in Portland, OR. The NPI Number for Blake Nathaniel Wenner is 1023545746 and holds a License No. (Oregon).

The current practice location address for Blake Nathaniel Wenner is 14600 Nw Cornell Rd, Portland, OR and can be reached out via phone at 503-282-3296.

Location: 14600 Nw Cornell Rd, Portland, OR, 97229-5442

NPI Number

1023545746

Provider Name

Blake Nathaniel Wenner

Credential

Provider Entity Type

Individual

Gender

Male

Address

14600 Nw Cornell Rd, Portland, OR, 97229-5442

Phone Number

503-282-3296

Fax Number

Provider Enumeration Date

05/11/2017

Last Update Date

03/09/2024

Address

14600 Nw Cornell Rd

City

Portland

State

Oregon

Zip

97229-5442

Phone Number

503-282-3296

Fax Number

Address

14600 Nw Cornell Rd

City

Portland

State

Oregon

Zip

97229-5442

Phone Number

503-282-3296

Fax Number

Type

Student, Health Care

Classification

Student in an Organized Health Care Education/Training Program

Speciality

Taxonomy

390200000X

License No.

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Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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