MR. Larry Wolfe, LMT

NPI #1154689198 in Portland, Oregon

Provider Information

NPI Number: 1154689198
Entity Type: Individual
Name: MR. Larry Wolfe, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: LMT
Enumeration Date: Apr 27, 2012
Last Updated: Apr 27, 2012

Practice Location

Address: 9500 SW BARBUR BLVD
Address 2: SUITE 106
City: Portland
State: Oregon
ZIP Code: 97219-5466
Phone: (503) 980-5327

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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