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1295187367
NICHOLAS THOMAS WOLFGANG
MILWAUKIE, OR
NPI
1295187367
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: OR MD205420)
Enumeration Date
2016-07-12
Last Update Date
2023-04-26
Business Address
NICHOLAS THOMAS WOLFGANG MD
10150 SE 32ND AVE
MILWAUKIE, OR 97222-6516
Phone number: 503-513-8641
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Mailing Address
NICHOLAS THOMAS WOLFGANG MD
PO BOX 3158
PORTLAND, OR 97208-3158
Phone number:
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