IndividualActive
Blake Nonweiler, MD
NPI 1912923152 · Sports Medicine (Orthopaedic Surgery) Physician · Bend, OR
Provider details
- NPI number
- 1912923152
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Orthopaedic Surgery) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- MD19775 (OR)
Practice location
2200 Ne Neff Rd Ste 200
Bend, OR 97701-4281
Phone: (541) 382-3344
Fax: (541) 322-2286
Mailing address
1650 Nw Naito Pkwy
Portland, OR 97209-2535
Registry dates
- Enumerated
- 2006-07-14
- Last updated
- 2020-01-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.