Individual
IRIS WOLF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
325 NW 21ST AVE, PORTLAND, OR 97209-1174
(503) 890-9107
Mailing address
3126 NE 7TH AVE, PORTLAND, OR 97212-3141
(503) 288-9107
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1974
OR
Other
Enumeration date
08/25/2007
Last updated
08/25/2007
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