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1417489824
LISA WISE
PORTLAND, OR
NPI
1417489824
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: CA A158675)
Enumeration Date
2017-04-03
Last Update Date
2023-02-01
Business Address
LISA WISE MD
3710 SW US VETERANS HOSPITAL RD
PORTLAND, OR 97239-2964
Phone number: 503-220-8262
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Mailing Address
LISA WISE MD
3710 SW US VETERANS HOSPITAL RD
PORTLAND, OR 97239-2964
Phone number: 032-208-2625
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