Dodi L Wade
Nurse Practitioner - Pediatrics
9555 Sw Barnes Rd Suite 301
Portland
, Oregon 97225-6663
Dodi L Wade
Nurse Practitioner - Pediatrics
9555 Sw Barnes Rd Suite 301
Portland
, Oregon 97225-6663
(503) 535-6351
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About
Features
Specialties
- Nurse Practitioner - Pediatrics
Languages spoken
- English
Location
First Address
- Dodi L Wade
- 9555 Sw Barnes Rd Suite 301
- Portland, OR
- Zip : 97225-6663
- Fax : (503) 535-6351
- Phone : (503) 535-6338
Second Address
- Dodi L Wade
- 9555 Sw Barnes Rd Suite 301
- Portland, OR
- Zip : 97225-6663
- Fax : (503) 535-6351
- Phone : (503) 535-6338
Reviews
FAQs
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What type of doctor is Dodi L Wade
In what state does Dodi L Wade practice in?
Where is Dodi L Wade ’s practice located?
What is Dodi L Wade ’s gender?
Is Dodi L Wade a sole practitioner?
Is Dodi L Wade accepting new patients?
What languages does Dodi L Wade speak?
Does Dodi L Wade accept insurance?
Does Dodi L Wade offers telemedicine?
What is Dodi L Wade ’s professional license number?
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Does Dodi L Wade have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP0200X | Nurse Practitioner - Pediatrics | 099006377N2 | OR |
National Provider Identifier
| NPI | 1023167079 |
|---|---|
| Provider Name | Dodi L Wade |
| First Address | Portland, OR 97225-6663 |
| Second Address | Portland, OR 97225-6663 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/01/2007 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 026566 | (05) | OR |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.