Individual
MEGAN K WOLFRAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
2485 12TH ST SE STE 5085, SALEM, OR 97302-2151
(503) 399-1386
(503) 399-1182
Mailing address
2485 12TH ST SE, SALEM, OR 97302-2151
(503) 399-1386
(503) 399-1182
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA152616
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/06/2009
Last updated
02/17/2026
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