Individual
GLENN M WULF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2200 NE NEFF RD STE 200, BEND, OR 97701-4281
(541) 382-3344
(541) 382-1681
Mailing address
2200 NE NEFF RD STE 200, BEND, OR 97701-4281
(541) 382-3344
(541) 382-1681
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA00975
OR
Other
Enumeration date
06/28/2005
Last updated
04/01/2025
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