Individual provider · Type 1 NPI

Dodi L. Wade, MSN, PNP

Pediatric Nurse Practitioner · Portland, OR

NPI number 1023167079 Active

Practice location

9555 SW Barnes Rd, Suite 301
Portland, OR 97225-6663

Fax (503) 535-6351

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X099006377N2 (OR)

Pediatric Nurse Practitioner: Definition to come...

55 other providers at this address

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About NPI 1023167079

Dodi L. Wade, MSN, PNP's National Provider Identifier is 1023167079, issued on Jan 9, 2007. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Portland, OR. The record was last updated on Jul 8, 2007.