| Doctor Name: | DR. SUSAN IRENE WOLF |
| NPI Number: | 1285730267 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | MD16528 |
| Business Practice Address: | 10180 Se Sunnyside Rd Kaiser Sunnyside Medical Office Clackamas, OR - 970158970 |
| Business Phone Number: | 5036522880 |
| Business Fax Number: | |
| Mailing Address: | 10180 Se Sunnyside Rd, Kaiser Sunnyside Medical Office CLACKAMAS |
| State: | OR |
| Postal Code: | 970158970 |
| Phone Number: | 5036522880 |
| Fax Number: | |
| NPI Enumeration Date: | 09/16/2006 |
| NPI Last Update Date: | 10/31/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085B0100X |
| License Number: | MD16528 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Body Imaging |
| Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |