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Individual

JOHN CHRISTOPHER WOLFE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCSW, MSW

Contact information

Practice address
4511 SE 39TH AVE, PORTLAND, OR 97202-3119
(503) 234-4440
Mailing address
4511 SE 39TH AVE, PORTLAND, OR 97202
(503) 234-4440

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L4265
OR

Other

Enumeration date
08/20/2008
Last updated
08/20/2008
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