Individual provider · Type 1 NPI

Jeffery Wise, PMHNP-BC

Psychiatric/Mental Health Nurse Practitioner · Portland, OR

NPI number 1003361858 Active

Practice location

1220 SW Morrison St Ste 730
Portland, OR 97205-2226

Mailing address

1750 NE Vista Ave
Gresham, OR 97030-4160

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X01606596NP-PP (OR)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1003361858

Jeffery Wise, PMHNP-BC's National Provider Identifier is 1003361858, issued on Aug 22, 2016. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Portland, OR. The record was last updated on Feb 5, 2025.