Individual
KERI WOLSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3716 NE MARTIN LUTHER KING JR BLVD, PORTLAND, OR 97212-1111
(503) 288-8066
(503) 288-8168
Mailing address
3716 NE MARTIN LUTHER KING JR BLVD, PORTLAND, OR 97212-1111
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
THW0209
OR
Other
Enumeration date
02/02/2015
Last updated
02/02/2015
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