The Practice Of Jeffery Wise Therapeutics Pmhnp-bc | |
1834 Nw 25th Ave Apt 504 Portland OR 97210-2764 | |
(503) 781-5814 | |
Not Available |
Full Name | The Practice Of Jeffery Wise Therapeutics Pmhnp-bc |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 1834 Nw 25th Ave Apt 504, Portland, Oregon |
Authorized Official Name and Position | Jeffery Wise (OWNER, DNP, PMHNP-BC) |
Authorized Official Contact | 5037815814 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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The Practice Of Jeffery Wise Therapeutics Pmhnp-bc 2651 Nw Thurman St Apt 303 Portland OR 97210-2327 Ph: () - | The Practice Of Jeffery Wise Therapeutics Pmhnp-bc 1834 Nw 25th Ave Apt 504 Portland OR 97210-2764 Ph: (503) 781-5814 |
NPI Number | 1912521998 |
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Provider Enumeration Date | 06/04/2020 |
Last Update Date | 01/01/2022 |
Certification Date | 01/01/2022 |
Identifier | Type | State | Issuer |
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1912521998 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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Daniel C Donohue, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2931 Ne Broadway St, Portland, OR 97232 Phone: 503-819-2515 | |
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