person
Dodi L Wade, MSN,PNP
Pediatric Nurse Practitioner in Portland, Oregon
NPI 1023167079

Dodi L Wade is a Pediatric Nurse Practitioner based in Portland, OR and is specialized in Pediatrics. Dodi L Wade practices in Portland, OR and has the professional credentials of MSN,PNP. The NPI Number for Dodi L Wade is 1023167079 and holds a License No. 099006377N2 (Oregon).

The current practice location address for Dodi L Wade is 9555 Sw Barnes Rd, Portland, OR and can be reached out via phone at 503-535-6338 and via fax at 503-535-6351. You can also correspond with Dodi L Wade through the mailing address at 9555 SW BARNES RD, PORTLAND, OR - 97225-6663 (mailing address contact number: 503-535-6338).

Location: 9555 Sw Barnes Rd, Portland, OR, 97225-6663
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Provider Profile Details
NPI Number
1023167079
Provider Name
Dodi L Wade
Credential
MSN,PNP
Provider Entity Type
Individual
Gender
Female
Address
9555 Sw Barnes Rd, Portland, OR, 97225-6663
Phone Number
503-535-6338
Fax Number
503-535-6351
Provider Enumeration Date
01/09/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
026566 05 OR
institution
Provider Business Practice Location Address Details
Address
9555 Sw Barnes Rd
City
State
Zip
97225-6663
Phone Number
503-535-6338
Fax Number
503-535-6351
person
Provider Business Mailing Address Details
Address
9555 Sw Barnes Rd
City
State
Zip
97225-6663
Phone Number
503-535-6338
Fax Number
503-535-6351
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
099006377N2 (Oregon)
Definition
Definition to come...
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