Angelique Wise , LMT
Specialist • Tigard, OR
Professional Overview & Biography Verified Profile Summary
Angelique Wise, LMT is a registered healthcare professional specializing in Specialist in Tigard, OR. Practice services are available at 14340 SW 80TH PL under active NPI credentials.
Practice Location & Contact Primary Location
14340 Sw 80th Pl
Tigard, OR 972248162
Specialty Benchmarks & Practice Insights
Comparative analytics for Specialist in Tigard, OR
Practicing in Tigard, OR (1153 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 174400000X
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Secondary Practice Locations
14340 Sw 80th Pl
Portland, OR 972248162
Phone: 9712694080
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
NPI status registered as active in NPPES database
Registered at 14340 SW 80TH PL, PORTLAND, OR 972248162 (Tel: 9712694080)
Registered at 14340 SW 80TH PL, TIGARD, OR 972248162 (Tel: 9712694080)
Recorded as ANGELIQUE WISE, LMT
Specialist (License #LMT#17875 in OR)
NPI status registered as active in NPPES database
Registered at 14340 SW 80TH PL, TIGARD, OR 972248162 (Tel: 9712694080)
Registered at 9045 SW BARBUR BLVD, SUITE 122, PORTLAND, OR 972194021 (Tel: 5032264500)
Recorded as ANGELIQUE WISE, LMT
Specialist (License #LMT#17875 in OR)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
14340 Sw 80th Pl
Portland, OR 972248162
Phone: 9712694080
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