Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Angelique Wise, LMT

Individual provider Specialist · NPI 1598058786

Angelique Wise, LMT is a Specialist in Tigard, Oregon. Practices as a sole proprietor and works from 2 locations. Licensed in Oregon.

Licensed in
OR
In the registry since
2011
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

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Practice location Address checks out

14340 SW 80th Pl
Tigard, OR 97224-8162
Phone: (971) 269-4080
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 14340 Sw 80th Pl, Portland, OR 97224-8162 — (971) 269-4080

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence LMT#17875 (OR)

Record details

NPI number1598058786
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMT
Sole proprietorYes
NPI enumeratedMay 20, 2011
Last updated in NPPESMarch 17, 2018

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