Individual
DR. MEGAN WISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
2600 CENTER ST NE, SALEM, OR 97301-2669
(503) 421-2679
Mailing address
304 CANDLEWOOD DR, MARTINEZ, GA 30907-2627
(530) 643-0033
Taxonomy
Speciality
Code
Description
License number
State
103TF0200X
Forensic Psychologist
Primary
3085
OR
Other
Enumeration date
07/01/2017
Last updated
02/13/2020
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