Stacie Wolfe ND

Primary specialty

NaturopathTaxonomy code 175F00000X

License

4023 Issued in OR

Legal business name

STACIE WOLFE ND

Practice address

7997 SW Alden St
Portland, OR 97223-9322

Phone

(503) 318-1030

NPI assigned

Feb 20, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Stacie Rene Wolfe, ND

Title

Owner/Physician

Phone

(503) 318-1030

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1487548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487548800000",
    "number": "1902345234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7997 SW ALDEN ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972239322",
            "telephone_number": "503-318-1030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7997 SW ALDEN ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972239322",
            "telephone_number": "503-318-1030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STACIE WOLFE ND",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-20",
        "last_updated": "2017-02-20",
        "status": "A",
        "authorized_official_last_name": "WOLFE",
        "authorized_official_first_name": "STACIE",
        "authorized_official_middle_name": "RENE",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "503-318-1030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ND"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Naturopath",
            "state": "OR",
            "license": "4023",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5007166139",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jonah Stabinski, MSW
• Stacey Mairs, LMT, LLC
• Xavier Rajagopal Stacey, M.D.
• Heidi Stachelrodt, LMT
• Betty Stachurski
• Megan N Stack, FNP
• Nicola Stackhouse, LMT
• Stacy Marie NP, LLC Dba Remedy Functional Medicine
• Evan Spencer Stacy, L.AC
• Francine Staczek, COTA/L

• Naturopath in Portland, OR
• Providers in Portland, OR by specialty
• Naturopath in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.