DR. JEFFERY WISE (PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1003361858

DR. JEFFERY WISE (PMHNP-BC) is a healthcare provider. based in Portland, Oregon. specializing in Psychiatric/Mental Health Nurse Practitioner. They hold the professional credentials PMHNP-BC. They hold a License No. 01606596NP-PP (OR). The NPI Number for DR. JEFFERY WISE (PMHNP-BC) is 1003361858

Main info

Male
Sole Proprietor
10 Years Of Experience
Accepts Medicare Assignment
Name
DR. JEFFERY WISE (PMHNP-BC)
NPI
1003361858
Phone
(503) 233-5405
Address
5415 SE MILWAUKIE AVE
Enumeration Date
22 August 2016
Last Update Date
5 February 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5034183900
Graduation Year
2016 (10 years ago)
PAC ID
3577851682
Group Practice PAC ID
1759328842
Professional Enrollment ID
I20161005001422
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:9State licenses:1Digital endpointsOther names

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Provider Addresses for DR. JEFFERY WISE (PMHNP-BC)

  • 5415, Southeast Milwaukie Avenue, Westmoreland, Sellwood-Moreland, Portland, Metro, Multnomah County, Oregon, 97202, United States

    PORTLAND, OR 972024940

    Phone: (503) 233-5405

    Type: Mailing

  • 1834 NW 25TH AVE APT 504

    PORTLAND, OR 972102764

    Phone: (971) 354-9242

    Type: Mailing

  • 1750 NE VISTA AVE

    GRESHAM, OR 970304160

    Phone: (503) 781-5814

    Type: Mailing

  • 1220 SW MORRISON ST STE 730

    PORTLAND, OR 972052226

    Phone: (971) 354-9242

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97202)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1759328842View full group profile

Reviews

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Frequently asked questions

How do payers reference DR. JEFFERY WISE (PMHNP-BC)?
For DR. JEFFERY WISE (PMHNP-BC), use NPI 1003361858 as the unique 10-digit identifier.
Is there an active status for DR. JEFFERY WISE (PMHNP-BC)?
For scheduling context, DR. JEFFERY WISE (PMHNP-BC) is shown as active in the registry.
What clinical focus is listed for DR. JEFFERY WISE (PMHNP-BC)?
At a glance, DR. JEFFERY WISE (PMHNP-BC) is tied to Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where in Oregon is DR. JEFFERY WISE (PMHNP-BC) registered?
Use Portland, Oregon as the headline location for DR. JEFFERY WISE (PMHNP-BC) here.
When was this NPI issued?
Enumeration for DR. JEFFERY WISE (PMHNP-BC) is noted as August 22, 2016 where the registry provides it.

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