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NPI 1780204875

IndividualActive

Edward Blake

NPI 1780204875 · Neurology Physician · Portland, OR

Provider details

NPI number: 1780204875
Entity type: Individual
Primary specialty: Neurology PhysicianAllopathic & Osteopathic Physicians
Sex: Male
Sole proprietor: No
License: 76695-20 (WI)

Practice location

3181 Sw Sam Jackson Park Rd

Portland, OR 97239-3011

Phone: (503) 494-7772

More OR providers

Mailing address

3181 Sw Sam Jackson Park Rd

Portland, OR 97239-3011

Registry dates

Enumerated: 2020-04-20
Last updated: 2025-06-24

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Edward Blake — NPI 1780204875, Portland, OR | NPI Central