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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ANGELIQUE WISE, LMT

Active Sole Proprietor

ANGELIQUE WISE, LMT is a Specialist healthcare provider located in TIGARD, Oregon. NPI 1598058786 is currently active in the NPPES registry. Verify at CMS.

Specialist · TIGARD, OR

Registration Details

NPI Number
1598058786
Provider Type
Individual
Gender
Female
NPI Issued
May 20, 2011 (15.235338382494 yrs)
Last Updated
Mar 17, 2018
License
LMT#17875 (OR)
Sole Proprietor
Yes

Practice Information

Address
14340 SW 80TH PL
TIGARD, OR, 972248162
Browse OR providers · Browse ZIP 97224
Phone
9712694080
Primary Specialty
Specialist
174400000X

Other Specialist Providers in TIGARD, OR

Name Credential NPI
JONATHAN EDWARD GREENLEAF M.D. 1568469278
RICHARD HENRY EDELSON M.D. 1548267263
ROBERT PAUL SOTTA MD 1942207667
RAYMOND ROBERT NORTH M.D. 1184621815
DR. KUO C CHANG M.D. 1518940162
ROBERT H SANDMEIER MD 1992751507
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.