KELLY KATHLEEN WOLFE FROMUTH

PORTLAND, OR
NPI1689052201
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP2300X Nurse Practitioner, Primary Care
(Licence: OR  201501921NP-PP)
Additional Taxonomies363LA2200X Nurse Practitioner, Adult Health
(Licence: OR  201501921NP-PP)
363LG0600X Nurse Practitioner, Gerontology
(Licence: OR  201501921NP-PP)
Enumeration Date2015-05-14
Last Update Date2021-12-07
Business Address
KELLY KATHLEEN WOLFE FROMUTH AGPCNP-PP
5100 SW MACADAM AVE #200
PORTLAND, OR 97239-6102
Phone number: 971-202-5500
Mailing Address
KELLY KATHLEEN WOLFE FROMUTH AGPCNP-PP
5100 S MACADAM AVE STE 200
PORTLAND, OR 97239-3827
Phone number: 971-202-5500