Organization
STACIE WOLFE ND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STACIE RENE WOLFE ND (OWNER/PHYSICIAN)
(503) 318-1030
Entity
Organization
Contact information
Practice address
7997 SW ALDEN ST, PORTLAND, OR 97223-9322
(503) 318-1030
Mailing address
7997 SW ALDEN ST, PORTLAND, OR 97223-9322
(503) 318-1030
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
4023
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5007166139
—
OR
Enumeration date
02/20/2017
Last updated
02/20/2017
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