Individual
MR. ERIC PAUL WOLKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2225 PACIFIC BLVD SE STE 207, ALBANY, OR 97321-7904
(971) 720-6299
Mailing address
134 11TH ST, JEFFERSON, OR 97352-9353
(503) 409-3801
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
15-2345
OR
Other
Enumeration date
12/03/2017
Last updated
12/03/2017
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