Fromuth, Kelly Kathleen Wolfe
Fromuth, Kelly Kathleen Wolfe is an individual health care provider with primary practice located at 5100 Sw Macadam Ave #200, Portland OR 97239-6102. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is her primary health care specialty. Fromuth, Kelly Kathleen Wolfe can be contacted via phone (971) 202-5500.Contact Information
Primary practice address
5100 Sw Macadam Ave #200
Portland OR 97239-6102
Phone: (971) 202-5500
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 201501921NP-PP | Oregon |
| Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | 201501921NP-PP | Oregon |
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | 201501921NP-PP | Oregon |
Profile Details
| NPI number | 1689052201 |
|---|---|
| LBN Legal business name | Fromuth, Kelly Kathleen Wolfe |
| Credentials | AGPCNP-PP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 14th, 2015 |
| Last updated | Dec 7th, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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