SearchOregonSpecialist

Angelique Wise, LMT

NPI 1598058786 · on the registry since 2011 · sole proprietor

Practice

Address
14340 Sw 80th Pl
Tigard, OR 97224
Phone
(971) 269-4080

Additional practice sites

  • 14340 Sw 80th Pl, Portland, OR

Registry record

Primary taxonomy
Specialist
174400000X
Licence states on file
OR
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2018-03-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon