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Organization
WOLF CROW MEDICINE
Active
Organization
WOLF CROW MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. J WHISKEY NORTHROP LAC (OWNER/ACUPUNCTURIST)
(503) 701-6077
Entity
Organization
Contact information
Practice address
6118 SE BELMONT STREET, #405, PORTLAND, OR 97215
(503) 701-6077
(503) 776-3106
Mailing address
411 NE 57TH AVENUE, APT B, PORTLAND, OR 97213
(503) 701-6077
(503) 776-3106
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC173827
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500704599
—
OR
Enumeration date
03/01/2017
Last updated
02/18/2025
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