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Dr. Jeffery Wise

Nurse Practitioner - Psychiatric/Mental Health

1834 Nw 25th Ave Apt 504
Portland , Oregon 97210-2764

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Dr. Jeffery Wise

Nurse Practitioner - Psychiatric/Mental Health

1834 Nw 25th Ave Apt 504
Portland , Oregon 97210-2764

(971) 354-9242

Write a Review Save Call

Dr. Jeffery Wise

Nurse Practitioner - Psychiatric/Mental Health

1834 Nw 25th Ave Apt 504
Portland , Oregon 97210-2764

(971) 354-9242 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Nurse Practitioner - Psychiatric/Mental Health

Languages spoken

  • English

Location

1834 Nw 25th Ave Apt 504 Portland , Oregon 97210-2764

First Address

  • Dr. Jeffery Wise
  • 1834 Nw 25th Ave Apt 504
  • Portland, OR
  • Zip : 97210-2764
  • Phone : (971) 354-9242

Second Address

  • Dr. Jeffery Wise
  • 1834 Nw 25th Ave Apt 504
  • Portland, OR
  • Zip : 97210-2764
  • Phone : (971) 354-9242

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FAQs


Where did Dr. Jeffery Wise attend graduate school?

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Where did Dr. Jeffery Wise do his residency?

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Where did Dr. Jeffery Wise do his fellowship?

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Is Dr. Jeffery Wise board certified?

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What type of doctor is Dr. Jeffery Wise

Nurse Practitioner - Psychiatric/Mental Health

In what state does Dr. Jeffery Wise practice in?

Oregon

Where is Dr. Jeffery Wise ’s practice located?

1834 Nw 25th Ave Apt 504 , Portland, Oregon, 97210-2764

What is Dr. Jeffery Wise ’s gender?

Male

Is Dr. Jeffery Wise a sole practitioner?

No

Is Dr. Jeffery Wise accepting new patients?

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What languages does Dr. Jeffery Wise speak?

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Does Dr. Jeffery Wise accept insurance?

Yes, Dr. Jeffery Wise accepts insurance

Does Dr. Jeffery Wise offers telemedicine?

Dr. Jeffery Wise has not indicated if he offers telemedicine

What is Dr. Jeffery Wise ’s professional license number?

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What is Dr. Jeffery Wise ’s NPI number?

1003361858

Does Dr. Jeffery Wise have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 363LP0808X Nurse Practitioner - Psychiatric/Mental Health 01606596NP-PP OR

National Provider Identifier

NPI 1003361858
Provider Name Dr. Jeffery Wise
First Address Portland, OR 97210-2764
Second Address Portland, OR 97210-2764
Gender M
NPI Entity type Individual
Is Sole Proprietor Yes
Is Organization Subpart N/A
Enumeration Date 22/08/2016
Last Update Date 13/01/2022

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
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?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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