KRISTI L WOLF (NPI# 1578655882) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578655882 |
| Entity Type | Individual |
| Full Name | KRISTI L WOLF |
| Credential | LDO |
| Practice Address |
3600 N Interstate Ave Portland OR 97227-1106 |
| Mailing Address |
3415 O St Vancouver WA 98663-2449 |
| Practice Telephone | 5032493449 |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FC0800X |
Technician/Technologist Specialization: Contact Lens |
2153 | WA | Eye and Vision Services Providers |
| Street Address |
3600 N INTERSTATE AVE |
| City | PORTLAND |
| State | OR |
| Zip Code | 97227-1106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417958885 | Stefani K Cozine | Audiologist | 3600 N Interstate Ave, Portland, OR 97227-1106 | 2005-08-09 |
| 1780223479 | Melissa M Tufts | Nurse Practitioner | 3600 N Interstate Ave, Portland, OR 97227-1106 | 2019-12-30 |
| 1699324061 | Natalie Waligorski | Genetic Counselor, MS | 3600 N Interstate Ave, Portland, OR 97227-1106 | 2019-09-09 |
| 1275186223 | Angela Marie Maroon | Pharmacist | 3600 N Interstate Ave, Portland, OR 97227-1106 | 2019-07-18 |
| 1801457130 | Alena Rose Faulkner | Genetic Counselor, MS | 3600 N Interstate Ave, Portland, OR 97227-1106 | 2019-06-26 |
| 1720645872 | Kirsten Kadoyama | Pharmacist | 3600 N Interstate Ave, Portland, OR 97227 | 2019-05-23 |
| 1376109017 | Yuliya M Byakina | Pharmacist | 3600 N Interstate Ave, Portland, OR 97227-1106 | 2019-05-17 |
| 1417491846 | Rachael Highton | Pharmacist | 3600 N Interstate Ave, Portland, OR 97227-1106 | 2016-12-04 |
| 1558812107 | Kaiser Foundation Health Plan of The Northwest | General Practice | 3600 N Interstate Ave, Portland, OR 97227-1106 | 2016-10-19 |
| 1871956136 | Alise Nichole Roberson | Optometrist | 3600 N Interstate Ave, Portland, OR 97227-1106 | 2016-04-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508466574 | Jessica Michelle Simonetti | Psychologist | Portland Psychotherapy Clinic, Research and Training Ce, 3700 N Williams Ave, Portland, OR 97227 | 2020-10-29 |
| 1447812268 | Maksim Yefimov | Physician Assistant | 2800 N Vancouver Ave Ste 130, Portland, OR 97227 | 2019-07-01 |
| 1851955975 | Erin Marie Staples | Student in an Organized Health Care Education/Training Program | 2800 N. Vancouver Ave;, Suite 230, Portland, OR 97227 | 2019-04-24 |
| 1922588508 | Melanie Grace Mix | Physician Assistant | 501 N Graham St Ste 420, Portland, OR 97227 | 2018-08-14 |
| 1730615071 | Mehran Giblin | Student in an Organized Health Care Education/Training Program | 2800 N. Vancouver Ave, Suite 230, Legacy Clinic Emanuel, Portland, OR 97227 | 2017-05-05 |
| 1730623687 | Christina Grace Belter | Optometrist | 300 N Graham St Ste 300, Portland, OR 97227 | 2016-12-12 |
| 1407300205 | Jenna Abernathy | Counselor | 3537 N Williams Ave, Portland, OR 97227 | 2016-08-09 |
| 1215390760 | Tanya Marie Woods | Massage Therapist | 3808 N. Williams Ave., Portland, OR 97227 | 2016-04-01 |
| 1033596853 | Eric Allen Martin | Counselor | 2054 N. Vancouver Ave, Portland, OR 97227 | 2015-04-30 |
| 1285040436 | Berk Neurosurgical LLC | Neurological Surgery | 501 N Graham St Ste 500, Portland, OR 97227 | 2014-07-09 |
| Find all providers in zip 97227 | ||||
| Taxonomy Code | 156FC0800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Contact Lens |
| An optician or other ancillary support staff person who, where authorized by state law and trained or certified to do so, may fit or dispense contact lenses to a patient based on the prescription of an optometrist or medical physician. |
| Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578650149 | Tibitha Jane Johnston | Technician/Technologist | 3600 N Interstate Ave, Portland, OR 97227-1106 | 2006-10-06 |
| 1437241825 | Robert Oun | Technician/Technologist | 19500 Se Stark St, Portland, OR 97233-5757 | 2006-09-29 |
| 1760574925 | Lynda N Eichelberg | Technician/Technologist | 3600 N Interstate Ave, Portland, OR 97227-1106 | 2006-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942473277 | Janelle Marla Oliger-graham | Technician/Technologist | 3401 College Loop Se, Albany, OR 97322 | 2008-04-08 |
| 1134214166 | Janet L Leino | Technician/Technologist | 19400 Nw Evergreen Pkwy, Hillsboro, OR 97124-7031 | 2006-10-04 |
| 1083709950 | Jessamine Michelle Maiben | Technician/Technologist | 19400 Nw Evergreen Pkwy, Hillsboro, OR 97124-7031 | 2006-10-04 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.