Wulf, Kelly

Wulf, Kelly is an individual health care provider with primary practice located at 2565 Nw Lovejoy St Suite 100, Portland OR 97210-2996. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Wulf, Kelly can be contacted via phone (503) 279-9700.

Contact Information

Primary practice address
2565 Nw Lovejoy St Suite 100 Portland OR 97210-2996
Phone: (503) 279-9700
Fax: (503) 279-8114
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X PA164512 Oregon
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA164512 Oregon
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA164512 Oregon

Profile Details

NPI number 1750654323
LBN Legal business name Wulf, Kelly
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2012
Last updated Nov 8th, 2018 - about 8 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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