person
Blaise Ashley Wardle, MBBS
Student in an Organized Health Care Education/Training Program in Portland, Oregon
NPI 1083309553

Blaise Ashley Wardle is a Student in an Organized Health Care Education/Training Program based in Philadelphia, OR. Blaise Ashley Wardle practices in Portland, OR and has the professional credentials of MBBS. The NPI Number for Blaise Ashley Wardle is 1083309553 and holds a License No. (Oregon).

The current practice location address for Blaise Ashley Wardle is 3101 Sw Sam Jackson Park Rd, Portland, OR and can be reached out via phone at 503-221-3424 and via fax at 503-221-3490.

Location: 3101 Sw Sam Jackson Park Rd, Portland, OR, 19178-7642
person
Provider Profile Details
NPI Number
1083309553
Provider Name
Blaise Ashley Wardle
Credential
MBBS
Provider Entity Type
Individual
Gender
Male
Address
3101 Sw Sam Jackson Park Rd, Portland, OR, 19178-7642
Phone Number
503-221-3424
Fax Number
503-221-3490
Provider Enumeration Date
04/10/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3101 Sw Sam Jackson Park Rd
City
State
Zip
97239-3009
Phone Number
503-221-3424
Fax Number
503-221-3490
person
Provider Business Mailing Address Details
Address
3101 Sw Sam Jackson Park Rd
City
State
Zip
97239-3009
Phone Number
503-221-3424
Fax Number
503-221-3490
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
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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