Individual
DR. ARIANE I WOLF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9800 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-9750
(503) 653-6440
Mailing address
3660 SE OGDEN ST, PORTLAND, OR 97202-8351
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD20632
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD20632
MEDICAL LICENSE
OR
Enumeration date
09/16/2006
Last updated
07/08/2007
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