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 Date2025-02-05
Business Address
Dr. JEFFERY WISE PMHNP-BC
1220 SW MORRISON ST STE 730
PORTLAND, OR 97205-2226
Phone number: 971-354-9242
Mailing Address
Dr. JEFFERY WISE PMHNP-BC
1750 NE VISTA AVE
GRESHAM, OR 97030-4160
Phone number: 503-781-5814
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