Blake Nathaniel Wenner is a student in an organized health care education training program in Portland, OR. The provider is 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. Blake Nathaniel Wenner NPI is 1023545746. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
14600 NW CORNELL RD
PORTLAND, OR
ZIP 97229-442
Phone: (503) 282-3296
The enumeration date for this NPI number is 5/11/2017 and was last updated on 5/11/2017.