Individual
STACIE RENE WOLFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ND
Contact information
Practice address
1330 SE CESAR E CHAVEZ BLVD, PORTLAND, OR 97214-4322
(503) 232-1100
(503) 232-7751
Mailing address
1330 SE CESAR E CHAVEZ BLVD, PORTLAND, OR 97214-4322
(503) 232-1100
(503) 232-7751
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
4023
OR
Other
Enumeration date
10/04/2016
Last updated
06/12/2026
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