Individual
ANNA WISDOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3710 SW US VETERANS HOSPITAL RD, PORTLAND, OR 97239-2964
(206) 743-1397
Mailing address
21918 49TH AVE SE, BOTHELL, WA 98021-8044
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/28/2025
Last updated
03/28/2025
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