Wolff, Lisa Marchell Gould
Wolff, Lisa Marchell Gould is an sole proprietor health care provider with primary practice located at 12650 Se Stark St , Portland OR 97233-1058. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Wolff, Lisa Marchell Gould can be contacted via phone (503) 477-9527.Contact Information
Primary practice address
12650 Se Stark St
Portland OR 97233-1058
Phone: (503) 477-9527
Fax: (503) 477-9527
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 1076095 | Oregon |
Profile Details
| NPI number | 1588713549 |
|---|---|
| LBN Legal business name | Wolff, Lisa Marchell Gould |
| Credentials | MOT, OTR/L |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 9th, 2007 |
| Last updated | Jul 21st, 2022 - 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 | 1588713549 | NPPES |
| Washington | MEDICAID | 7684103 | |
| Washington | MEDICAID | 273905 |
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