Individual
DR. CATHRYN LEE WISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6902 SE LAKE RD, SUITE 100, MILWAUKIE, OR 97267-2148
(503) 786-1167
Mailing address
9818 NE 83RD ST, VANCOUVER, WA 98662-2986
(360) 604-2267
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
MD00038221
WA
207RN0300X
Nephrology Physician
Primary
MD14059
OR
Other
Enumeration date
08/16/2006
Last updated
07/08/2007
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