Individual
DR. KIRK DANA WOLFE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1500 NE IRVING ST STE 250, PORTLAND, OR 97232-2265
(503) 233-4356
(503) 232-0138
Mailing address
29 AQUINAS ST, LAKE OSWEGO, OR 97035-1203
(503) 635-9342
(503) 232-0138
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
18215
OR
Other
Enumeration date
02/28/2007
Last updated
07/08/2007
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