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Angelique Wise, LMT
Specialist in Tigard, Oregon
NPI 1598058786

Angelique Wise is a Specialist based in Portland, OR. Angelique Wise practices in Tigard, OR and has the professional credentials of LMT. The NPI Number for Angelique Wise is 1598058786 and holds a License No. LMT#17875 (Oregon).

The current practice location address for Angelique Wise is 14340 Sw 80Th Pl, Tigard, OR and can be reached out via phone at 971-269-4080.

Location: 14340 Sw 80Th Pl, Tigard, OR, 97224-8162
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1598058786
Provider Name
Angelique Wise
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
14340 Sw 80Th Pl, Tigard, OR, 97224-8162
Phone Number
971-269-4080
Fax Number
Provider Enumeration Date
05/20/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
14340 Sw 80Th Pl
City
Tigard
State
Oregon
Zip
97224-8162
Phone Number
971-269-4080
Fax Number
person
Provider Business Mailing Address Details
Address
14340 Sw 80Th Pl
City
Tigard
State
Oregon
Zip
97224-8162
Phone Number
971-269-4080
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
LMT#17875 (Oregon)
Definition
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.
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