Individual
MISS ELIZABETH ANN WOLF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
4133 N MICHIGAN AVE, PORTLAND, OR 97217-3114
(414) 241-5498
Mailing address
3735 SE DIVISION ST, PORTLAND, OR 97202-1547
(414) 241-5498
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
157509
OR
Other
Enumeration date
03/01/2013
Last updated
03/01/2013
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