Individual
DR. DEBORAH WISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH. D.
Contact information
Practice address
1962 NW KEARNEY ST, SUITE 201, PORTLAND, OR 97209-1400
(503) 381-1871
(503) 222-2136
Mailing address
1962 NW KEARNEY ST, SUITE 201, PORTLAND, OR 97209-1400
(503) 381-1871
(503) 222-2136
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1669
OR
Other
Enumeration date
01/15/2007
Last updated
07/08/2007
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