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:
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Health care specialties

SpecialtyCodeLicense #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 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1508096397 NPPES
Oregon MEDICAID 500637076

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