THE PRACTICE OF JEFFERY WISE THERAPEUTICS PMHNP-BC

PORTLAND, OR
NPI1912521998
Entity TypeOrganization
Authorized ContactJEFFERY WISE
Owner, Dnp, Pmhnp Bc
503-781-5814
Organization Subpart ?No
Primary Taxonomy261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)
Enumeration Date2020-06-04
Last Update Date2022-01-01
Business Address
THE PRACTICE OF JEFFERY WISE THERAPEUTICS PMHNP-BC
1834 NW 25TH AVE APT 504
PORTLAND, OR 97210-2764
Phone number: 503-781-5814
Mailing Address
THE PRACTICE OF JEFFERY WISE THERAPEUTICS PMHNP-BC
2651 NW THURMAN ST APT 303
PORTLAND, OR 97210-2327
Phone number: