Individual
JEREMY REDSTAR WOLF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
46314 TIMINE WAY, PENDLETON, OR 97801-9417
(541) 240-8434
(541) 240-8434
Mailing address
46314 TIMINE WAY, PENDLETON, OR 97801-9417
(541) 240-8434
(541) 240-8434
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
OR
Other
Enumeration date
03/19/2026
Last updated
03/19/2026
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