Individual
KENNETH D. WOLFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
220 NW OREGON AVE STE 205, BEND, OR 97701-2745
(541) 728-0636
Mailing address
220 NW OREGON AVE STE 205, BEND, OR 97701-2745
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C2212
OR
Other
Enumeration date
08/21/2008
Last updated
08/21/2008
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