Physician Compare National (NPI:1801801329)

HEALTHCARE PROVIDER: SOLOMON WOLF MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1801801329
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8921160466
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20081217000684
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	WOLF
	Individual professional last name
Provider First Name	SOLOMON
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1980
	Individual professional's medical school graduation year
Primary Specialty	PSYCHIATRY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	1020 SW TAYLOR ST
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 750
	Group Practice or individual's line 2 address
City	PORTLAND
	Group Practice or individual's city
State	OR
	Group Practice or individual's state
Zip Code	972052505
	Group Practice or individual's zip code (9 digits when available)
Phone Number	5033145784
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	M