Dodi L. Wade, MSN, PNP

Pediatric Nurse Practitioner · Portland, OR

Individual Active NPI

NPI number 1023167079

Practice location

9555 SW Barnes Rd
Suite 301
Portland, OR 97225-6663
Phone
(503) 535-6338
Fax
(503) 535-6351

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NPI record

NPI
1023167079
Entity type
Individual (Type 1)
Enumeration date
January 9, 2007
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatric Nurse Practitioner Primary 363LP0200X 099006377N2 OR

About Dodi Wade

Dodi L. Wade, MSN, PNP is a healthcare provider registered in the NPI registry with the primary taxonomy Pediatric Nurse Practitioner (code 363LP0200X). The practice location is 9555 SW Barnes Rd, Suite 301, Portland, OR 97225-6663. The NPI number 1023167079 was assigned on January 9, 2007 and the record was last updated on July 8, 2007.

Dodi Wade lists a license in the registry: #099006377N2 (OR) for Pediatric Nurse Practitioner. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Dodi L. Wade, MSN, PNP?

The NPI number is 1023167079.

What is the phone number of Dodi Wade?

The phone number listed for the practice location is (503) 535-6338.

Where is Dodi Wade located?

9555 SW Barnes Rd, Suite 301, Portland, OR 97225-6663.

What is the taxonomy code for Dodi Wade?

The primary taxonomy code is 363LP0200X – Pediatric Nurse Practitioner.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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