Individual provider · Type 1 NPI
Angelique Wise, LMT
Specialist · Tigard, OR
NPI number
1598058786
Active
Practice location
14340 SW 80th Pl
Tigard, OR 97224-8162
Other practice locations
- 14340 SW 80th Pl, Portland, OR 97224-8162 · (971) 269-4080
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | LMT#17875 (OR) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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- Gina Marie Callaway, LMT 17789Specialist Tigard, OR NPI 1053616441
- Michele L. Harris, LMTSpecialist Tigard, OR NPI 1083914402
- Michael C. Billings, PTSpecialist Tigard, OR NPI 1093909103
- Brenda Kay Killingsworth, LMTSpecialist Tigard, OR NPI 1114169901
- Faith DavisSpecialist Tigard, OR NPI 1174436299
- Raymond Robert North, MDSpecialist Tigard, OR NPI 1184621815
- Kevin Dean Darnell I, LMTSpecialist Tigard, OR NPI 1194128579
About NPI 1598058786
Angelique Wise, LMT's National Provider Identifier is 1598058786, issued on May 20, 2011. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Tigard, OR. The record was last updated on Mar 17, 2018.