BLAISE ASHLEY WARDLE MBBS
NPI 1083309553
Student in an Organized Health Care Education/Training Program in Portland, OR

Q: What is Blaise Wardle's NPI number?

The NPI number for Blaise Wardle is 1083309553. It was assigned to this individual provider in the NPPES registry on April 10, 2023.

Q: What is Blaise Wardle's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Blaise Wardle was last updated on September 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 10, 2023

3101 SW SAM JACKSON PARK RD, PORTLAND, OR 97239(503) 221-3424(503) 221-3490 Get Directions Write a Review

NPPES record last updated: September 8, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 8, 2023, Apr 10, 2023 (2 updates tracked since 2023).

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About Blaise Ashley Wardle Mbbs NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLAISE ASHLEY WARDLE MBBS (NPI 1083309553) is an individual student in an organized health care education/training program in Portland, Oregon and active in the NPI registry since April 2023.

NPPES Registry Identity

NPI1083309553

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameBLAISE ASHLEY WARDLECredential: MBBS

Location Address3101 SW SAM JACKSON PARK RDPortland, OR 97239-3009

Mailing AddressPo Box 8500 Lockbox 7642, Shriners Hospitals For Children, PortlandPhiladelphia, PA 19178-7642 · (813) 281-8115 · Fax (813) 281-8056

Phone(503) 221-3424

Fax(503) 221-3490

Sole ProprietorNo

Enumeration DateApril 10, 2023

Last NPPES UpdateSeptember 8, 20232 updates tracked since enumeration

NPPES CertifiedApril 10, 2023

✔ NPI 1083309553 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

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.

3101 SW SAM JACKSON PARK RD, Portland, OR 97239

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LEE ALAN TAYLOR MD

Anesthesiology