IndividualActive
Dodi Wade, MSN, PNP
NPI 1023167079 · Pediatric Nurse Practitioner · Portland, OR
Provider details
- NPI number
- 1023167079
- Entity type
- Individual
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- MSN, PNP
- Sex
- Female
- Sole proprietor
- No
- License
- 099006377N2 (OR)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
9555 Sw Barnes Rd
Suite 301
Portland, OR 97225-6663
Phone: (503) 535-6338
Fax: (503) 535-6351
Approximate (ZIP-level) locationGet directions
Mailing address
9555 Sw Barnes Rd
Portland, OR 97225-6663
Registry dates
- Enumerated
- 2007-01-09
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.