JACKIE MARCELLA WOLF

PORTLAND, OR
NPI1053502104
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: OR  5452)
Enumeration Date2007-08-05
Last Update Date2018-07-31
Business Address
Miss JACKIE MARCELLA WOLF PT
1111 NE 99TH AVE
PORTLAND, OR 97220
Phone number: 503-216-5410
Mailing Address
Miss JACKIE MARCELLA WOLF PT
1111 NE 99TH
PORTLAND, OR 97220-9428
Phone number:
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