Individual
JORDAN WOLFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
9755 SW BARNES RD, PORTLAND, OR 97225-6651
(314) 277-0873
Mailing address
9755 SW BARNES RD, PORTLAND, OR 97225-6651
(314) 277-0873
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L15132
OR
1041C0700X
Clinical Social Worker
LSW.0009923076
CO
Other
Enumeration date
09/06/2022
Last updated
04/30/2024
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