Individual
SARAH E WOLF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
890 OAK ST SE, SALEM, OR 97301-3905
(503) 561-5200
(503) 814-4908
Mailing address
PO BOX 13129, SALEM, OR 97309-1129
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
201703156NP-PP
OR
363LP2300X
Primary Care Nurse Practitioner
201703156NP-PP
OR
363LP2300X
Primary Care Nurse Practitioner
AP07182
LA
Other
Enumeration date
06/18/2013
Last updated
10/26/2020
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