Active NPI
Stefan Andrew Wolf
- Counselor
- Tigard, OR
National Provider Identifier
1215218607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 11970 SW Greenburg Rd
Tigard, OR 97223-6453 - Phone
- (503) 726-3696
- Fax
- (503) 726-3697
- NPI assigned
- Aug 30, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
11970 SW Greenburg Rd
Tigard, OR 97223-6453
Mailing address
5927 NE 52ND Ave
Portland, OR 97218-1809
Phone (541) 778-8375
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314662400000",
"number": "1215218607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5927 NE 52ND AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972181809",
"telephone_number": "541-778-8375"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11970 SW GREENBURG RD",
"city": "TIGARD",
"state": "OR",
"postal_code": "972236453",
"telephone_number": "503-726-3696",
"fax_number": "503-726-3697"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLF",
"first_name": "STEFAN",
"middle_name": "ANDREW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-08-30",
"last_updated": "2011-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tigard, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.