WOLF CROW MEDICINE NPI 1245770890

NPI Information

NPI: 1245770890
Provider Name: WOLF CROW MEDICINE
Classification: Acupuncturist - 171100000X
Entity Type: Organization
Address:
833 SE MAIN ST STE 308
PORTLAND, OR
ZIP 97214
Phone: (503) 701-6077
Get Directions

WOLF CROW MEDICINE is an acupuncturist in Portland, OR. The provider is an acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia. WOLF CROW MEDICINE NPI is 1245770890. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

833 SE MAIN ST STE 308
PORTLAND, OR
ZIP 97214-427
Phone: (503) 701-6077

The provider's authorized official is J Whiskey Northrop .
The authorized official title is Acupuncturist and has the following contact phone number (503) 701-6077.

The enumeration date for this NPI number is 3/1/2017 and was last updated on 3/1/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	171100000X	Acupuncturist		AC173827	OREGON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	500704599	MEDICAID	OREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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