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

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.

See every abbreviation used in this directory →

Practice location Address checks out

14340 SW 80th Pl
Tigard, OR 97224-8162
Phone: (971) 269-4080
Show map & directions

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
Mailing address14340 Sw 80th Pl, Portland, OR 97224-8162

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