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ANGELIQUE WISE LMT
NPI 1598058786
Specialist in Tigard, OR

Active since May 20, 2011
14340 SW 80TH PL, TIGARD, OR 97224(971) 269-4080 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 17, 2018, Nov 30, 2017 (2 updates tracked since 2017).

About Angelique Wise Lmt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANGELIQUE WISE LMT (NPI 1598058786) is an individual specialist in Tigard, Oregon, licensed in Oregon (LMT#17875) and active in the NPI registry since May 2011. She maintains a secondary practice location in Portland.

NPPES Registry Identity

NPI1598058786
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameANGELIQUE WISECredential: LMT
Location Address14340 SW 80TH PLTigard, OR 97224-8162
Mailing Address14340 Sw 80th PlPortland, OR 97224-8162 · (971) 269-4080
Phone(971) 269-4080
Sole ProprietorYes
Enumeration DateMay 20, 2011
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
✔ NPI 1598058786 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in OR · LMT#17875
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.
14340 SW 80TH PL, Tigard, OR 97224
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Secondary Practice Location 1

Location 114340 SW 80th PlPortland, OR 97224-8162 · Phone (971) 269-4080

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Angelique Wise's NPI number?

The NPI number for Angelique Wise is 1598058786. It was assigned to this individual provider in the NPPES registry on May 20, 2011.

Where is Angelique Wise located?

Angelique Wise practices at 14340 SW 80th Pl, Tigard, OR 97224. The listed phone number is (971) 269-4080.

What is Angelique Wise's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Angelique Wise was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.