The Practice of Jeffery Wise Therapeutics Pmhnp-bc
Clinic/Center (Mental Health (Including Community Mental Health Center))

Address: 2651 Nw Thurman St Apt 303, Portland, OR 97210-2327
Phone: 5037815814

The Practice of Jeffery Wise Therapeutics Pmhnp-bc (NPI# 1912521998) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1912521998
Entity Type Organization
Organization Name THE PRACTICE OF JEFFERY WISE THERAPEUTICS PMHNP-BC
Practice Address 2651 Nw Thurman St Apt 303
Portland
OR 97210-2327
Practice Telephone 5037815814
Mailing Address 2651 Nw Thurman St Apt 303
Portland
OR 97210-2327
Authorized Official Name Jeffery Wise (OWNER, DNP, PMHNP-BC)
Authorized Official Telephone 5037815814
Authorized Official Credential PMHNP-BC
Organization Subpart No, this organization is not a Subpart
Enumeration Date 2020-06-04
Last Update Date 2020-06-04

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 261QM0801X Clinic/Center · Mental Health (Including Community Mental Health Center) Ambulatory Health Care Facilities

Taxonomy Information

Taxonomy Code 261QM0801X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Mental Health (Including Community Mental Health Center)

Taxonomy Definition

Definition to come...

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1194104026 Coastal Plains Community Mhmr Center Clinic/Center 200 Marriott Drive, Portland, TX 78374-2213 2015-05-26
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Office Location

Street Address 2651 NW THURMAN ST APT 303
City PORTLAND
State OR
Zip Code 97210-2327

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1679109086 Joseph Francolino Massage Therapist 2174 Nw Davis Street, Apartment 105, Portland, OR 97210 2020-03-17
1215574058 Northwest Dbt LLC Psychologist 2230 Nw Pettygrove St., Suite 130, Portland, OR 97210 2019-11-27
1649769480 Dipesh Patel Student in an Organized Health Care Education/Training Program 1200 Nw 23rd Ave. Legacy Clinic Good Samaritan, Portland, OR 97210 2018-05-08
1760987234 Meghan Teague Student in an Organized Health Care Education/Training Program Legacy Good Samaritan Medical Center- Gme, 1015 Nw 22nd Ave, Portland, OR 97210 2018-03-27
1205349172 Paul M Storm Acupuncturist 1708 Nw 25th Ave. Apt. #6, Portland, OR 97210 2017-11-14
1740703750 Audra K Berning Massage Therapist 2122 Nw Quimby, Root Whole Body, Portland, OR 97210 2017-07-21
1720539810 Anna-marie Elizabeth Wood Audiologist 2222 Nw Lovejoy St Ste 662, Portland, OR 97210 2016-10-24
1659829836 H&s Pearl, LLC Massage Therapist 25 Nw 23rd Pl, Suite 7, Portland, OR 97210 2016-09-15
1255785796 Cortez Natural Medicine, Inc. Acupuncturist 2230 Nw Pettygove Street, Unit 130, Portland, OR 97210 2016-04-21
1932563616 Vincent Chen Student in an Organized Health Care Education/Training Program 1200 Nw 23rd Avenue, Legacy Clinic Good Samaritan, Portland, OR 97210 2016-04-08
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Competitor

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City PORTLAND
Zip Code 97210

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.