Angelique Wise , LMT
Specialist β’ Tigard, OR
14340 Sw 80th Pl
Tigard, OR 972248162
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
Practice Location & Contact Primary Location
14340 Sw 80th Pl
Tigard, OR 972248162
NPPES lists 1 additional practice-address record in Portland, OR. See the list
Source: CMS NPPES NPI Registry, practice location records; release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
What Public CMS Data Show
Specialist: NPPES taxonomy is a reported classification, not proof of board certification.
NPI first issued
2011
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Medicare assignment not listed
CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, βDoes your provider accept Medicare as full payment?β
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Compared with the same specialty in Tigard and Oregon
27 active clinicians are listed under Specialist with a practice address in Tigard, OR (1,085 in Oregon).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Tigard
0% of these 27 clinicians have the CMS telehealth indicator.
7.4% of these 27 clinicians are listed by CMS as accepting Medicare assignment.
Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo Β· Report an error.
Specialties & License Numbers Reported to NPPES
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
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
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 number reported to NPPES: OR LMT#17875)
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 number reported to NPPES: OR LMT#17875)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Specialists in Tigard
- Dr. Robert Sandmeier, MD
- Dr. Richard Edelson, MD
- Joseph Knaus, FNP
- Dr. Kuo Chang, MD
- Dr. Jonathan Greenleaf, MD
Mailing Address
14340 Sw 80th Pl
Portland, OR 972248162
Phone: 9712694080