Individual
COLLIN ANDREW WULFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO (STUDENT)
Contact information
Practice address
1046 6TH AVE SW, ALBANY, OR 97321-1916
(541) 812-4081
Mailing address
2705 SE HARRISON ST, PORTLAND, OR 97214-5543
(541) 990-1194
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
125072358
IL
207P00000X
Emergency Medicine Physician
Primary
DO203088
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/14/2016
Last updated
06/17/2021
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