Individual
STACIE RENE WOLFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ND
Contact information
Practice address
16144 E BURNSIDE ST, PORTLAND, OR 97233-3520
(503) 535-3860
Mailing address
1132 SW 13TH AVE, PORTLAND, OR 97205-1703
(503) 535-3860
(503) 535-3860
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
4023
OR
Other
Enumeration date
10/04/2016
Last updated
04/22/2025
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