Individual
DR. CYDNEY LEIGH WOLF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
700 NE 87TH AVE, VANCOUVER, WA 98664-1913
(360) 882-2778
Mailing address
700 NE 87TH AVE, VANCOUVER, WA 98664-4896
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
OP60949791
WA
207R00000X
Internal Medicine Physician
PG188401
OR
207R00000X
Internal Medicine Physician
R10401
IA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
OP60949791
WA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
PG188401
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2105836
—
WA
Enumeration date
12/19/2014
Last updated
07/23/2019
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