BLAKE CARLTON WIECZOREK
NPI 1285516914
Student in an Organized Health Care Education/Training Program in Portland, OR
About Blake Carlton Wieczorek NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BLAKE CARLTON WIECZOREK (NPI 1285516914) is an individual student in an organized health care education/training program in Portland, Oregon and active in the NPI registry since July 2025.
NPPES Registry Identity
Specialties & Licenses
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.
PORTLAND, OR 97239
PORTLAND, OR 97239
PORTLAND, OR 97239
PORTLAND, OR 97239
PORTLAND, OR 97239
PORTLAND, OR 97239
PORTLAND, OR 97239
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Blake Wieczorek's NPI number?
The NPI number for Blake Wieczorek is 1285516914. It was assigned to this individual provider in the NPPES registry on July 23, 2025.
Where is Blake Wieczorek located?
Blake Wieczorek practices at 3455 SW Us Veterans Hospital Rd, Portland, OR 97239. The listed phone number is (580) 491-1800.
What is Blake Wieczorek's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
When was this NPI record last updated?
The NPPES record for Blake Wieczorek was last updated on July 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.
# Blake Carlton Wieczorek · NPI 1285516914
Student in an Organized Health Care Education/Training Program provider in Portland, Oregon. Individual provider, active in the CMS NPPES registry since July 23, 2025.
## Identity
- **NPI:** 1285516914 (Entity type: Individual)
- **Enumerated:** July 23, 2025
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 3455 SW US VETERANS HOSPITAL RD, Portland, OR 97239-3076
- **Phone:** (580) 491-1800
## Record status
- **NPPES last updated:** July 23, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1285516914) · Data from the CMS NPPES public registry.