JEFFERY WISE

PORTLAND, OR
NPI1003361858
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: OR  01606596NP-PP)
Enumeration Date2016-08-22
Last Update Date2022-01-13
Business Address
Dr. JEFFERY WISE PMHNP-BC
1834 NW 25TH AVE APT 504
PORTLAND, OR 97210-2764
Phone number: 971-354-9242
Mailing Address
Dr. JEFFERY WISE PMHNP-BC
1834 NW 25TH AVE APT 504
PORTLAND, OR 97210-2764
Phone number: 971-354-9242
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