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Individual

ANDREAS WOLF

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
19400 NW EVERGREEN PWY, HILLSBORO, OR 97124-7031
(503) 645-2762
Mailing address
13340 NW PETTYGROVE ST, PORTLAND, OR 97229-4548
(503) 643-7330

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MD00021991
WA
207Q00000X
Family Medicine Physician
Primary
MD12824
OR

Other

Enumeration date
10/02/2006
Last updated
02/04/2022
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