Individual
SLADE WOLF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
18616 S GRASLE RD, OREGON CITY, OR 97045-8898
(503) 891-6200
Mailing address
18616 S GRASLE RD, OREGON CITY, OR 97045-8898
(503) 891-6200
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L4203
—
Other
Enumeration date
01/27/2011
Last updated
10/09/2019
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