Provider Demographics
NPI:1871824656
Name:WOOLF, CURTIS ANTHONY (AUD)
Entity Type:Individual
Prefix:MR
First Name:CURTIS
Middle Name:ANTHONY
Last Name:WOOLF
Suffix:
Gender:M
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:888 SWIFT BLVD
Mailing Address - Street 2:
Mailing Address - City:RICHLAND
Mailing Address - State:WA
Mailing Address - Zip Code:99352-3514
Mailing Address - Country:US
Mailing Address - Phone:509-942-3054
Mailing Address - Fax:509-942-2534
Practice Address - Street 1:1100 GOETHALS DRIVE
Practice Address - Street 2:2ND FLOOR
Practice Address - City:RICHLAND
Practice Address - State:WA
Practice Address - Zip Code:99352-3304
Practice Address - Country:US
Practice Address - Phone:509-942-3178
Practice Address - Fax:509-946-1735
Is Sole Proprietor?:No
Enumeration Date:2010-01-19
Last Update Date:2019-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALD60168600231H00000X
231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA0278034OtherLABOR & INDUSTRIES
WA8900368Medicare PIN