Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Blaise Ashley Wardle, MBBS

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1083309553

Blaise Ashley Wardle, MBBS is a Student in an Organized Health Care Education/Training Program in Portland, Oregon. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
MBBS — Bachelor of Medicine, Bachelor of Surgery
The medical degree awarded in the UK, India and many Commonwealth countries; equivalent to an MD.

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Practice location Address checks out

3101 SW Sam Jackson Park Rd
Portland, OR 97239-3009
Phone: (503) 221-3424
Fax: (503) 221-3490
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1083309553
Entity typeIndividual (Type 1)
GenderMale
Credentials MBBS
Sole proprietorNo
NPI enumeratedApril 10, 2023
Last updated in NPPESSeptember 8, 2023
Certification dateApril 10, 2023

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