Organization · Type 2 NPI

The Practice of Jeffery Wise Therapeutics Pmhnp-Bc

Mental Health Clinic/Center (Including Community Mental Health Center) · Portland, OR

NPI number 1912521998 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
Mental Health Clinic/Center (Including Community Mental Health Center) Primary 261QM0801XNone listed

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

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About NPI 1912521998

The Practice of Jeffery Wise Therapeutics Pmhnp-Bc's National Provider Identifier is 1912521998, issued on Jun 4, 2020. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Portland, OR. The record was last updated on Jul 28, 2025.