Wolff, Brian
Wolff, Brian is an individual health care provider with primary practice located at 704 Columbia St , Hood River OR 97031-1720. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Wolff, Brian can be contacted via phone (541) 490-7399.Contact Information
Primary practice address
704 Columbia St
Hood River OR 97031-1720
Phone: (541) 490-7399
Fax: (503) 914-6678
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 08-R-15 | Oregon |
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LW61056314 | Washington |
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | L4472 | Oregon |
Profile Details
NPI number | 1508096397 |
---|---|
LBN Legal business name | Wolff, Brian |
Credentials | LCSW, CADC-III |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 15th, 2009 |
Last updated | Oct 6th, 2021 - about 3 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1508096397 | NPPES |
Oregon | MEDICAID | 500637076 |
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