Organization
THE PRACTICE OF JEFFERY WISE THERAPEUTICS PMHNP-BC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFERY WISE PMHNP-BC (OWNER, DNP, PMHNP-BC)
(503) 781-5814
Entity
Organization
Contact information
Practice address
1220 SW MORRISON ST STE 730, PORTLAND, OR 97205-2226
(503) 781-5814
Mailing address
1750 NE VISTA AVE, GRESHAM, OR 97030-4160
(503) 781-5814
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
06/04/2020
Last updated
07/28/2025
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