NPI 1003361858

Jeffery Wise, PMHNPBC

Practitioner Psychiatric/Mental Health Nurse Practitioner Portland, OR

Practice location

Address: 1220 SW Morrison St STE 730, Portland, OR 97205-2226
Phone: (971) 354-9242
Mailing address: 1750 NE Vista Ave, Gresham, OR 97030-4160

Registered specialties

Psychiatric/Mental Health Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LP0808X Licence 01606596NP-PP (OR)

Other Nurse Practitioner providers in Oregon →

Registry record

NPI: 1003361858
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Aug 2016
Record last updated: 5 Feb 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.