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Individual

MS. AMY COLLEEN WOLF

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
L.AC.

Contact information

Practice address
114 N KILLINGSWORTH ST, PORTLAND, OR 97217-2435
(503) 281-4656
(503) 288-3289
Mailing address
114 N KILLINGSWORTH ST, PORTLAND, OR 97217-2435
(503) 281-4656
(503) 288-3289

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC01035
OR

Other

Enumeration date
03/27/2009
Last updated
03/27/2009
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