Individual
STEFAN ANDREW WOLF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11970 SW GREENBURG RD, TIGARD, OR 97223-6453
(503) 726-3696
(503) 726-3697
Mailing address
5927 NE 52ND AVE, PORTLAND, OR 97218-1809
(541) 778-8375
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/30/2011
Last updated
08/30/2011
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