Healthcare Provider Details

I. General information

NPI: 1326487927
Provider Name (Legal Business Name): SARAH E WOLF NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/18/2013
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

890 OAK ST SE
SALEM OR
97301-3905
US

IV. Provider business mailing address

PO BOX 13129
SALEM OR
97309-1129
US

V. Phone/Fax

Practice location:
  • Phone: 503-561-5200
  • Fax: 503-814-4908
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number201703156NP-PP
License Number StateOR
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number201703156NP-PP
License Number StateOR
# 3
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License NumberAP07182
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: