Individual
DR. SUSAN IRENE WOLF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10180 SE SUNNYSIDE RD, KAISER SUNNYSIDE MEDICAL OFFICE, CLACKAMAS, OR 97015-8970
(503) 652-2880
Mailing address
10180 SE SUNNYSIDE RD, KAISER SUNNYSIDE MEDICAL OFFICE, CLACKAMAS, OR 97015-8970
(503) 652-2880
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
MD00034377
WA
2085B0100X
Body Imaging Physician
MD16528
OR
2085R0202X
Diagnostic Radiology Physician
MD00034377
WA
2085R0202X
Diagnostic Radiology Physician
Primary
MD16528
OR
2085U0001X
Diagnostic Ultrasound Physician
MD00034377
WA
2085U0001X
Diagnostic Ultrasound Physician
MD16528
OR
Other
Enumeration date
09/16/2006
Last updated
10/31/2009
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