Provider Demographics
NPI:1134888381
Name:WOLFE, ERIKA FRANCES (CHW)
Entity type:Individual
Prefix:
First Name:ERIKA
Middle Name:FRANCES
Last Name:WOLFE
Suffix:
Gender:F
Credentials:CHW
Other - Prefix:
Other - First Name:ERIKA
Other - Middle Name:FRANCES
Other - Last Name:WOLFE BURR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1700 E 19TH ST
Mailing Address - Street 2:
Mailing Address - City:THE DALLES
Mailing Address - State:OR
Mailing Address - Zip Code:97058-3398
Mailing Address - Country:US
Mailing Address - Phone:541-506-5819
Mailing Address - Fax:
Practice Address - Street 1:1700 E 19TH ST
Practice Address - Street 2:
Practice Address - City:THE DALLES
Practice Address - State:OR
Practice Address - Zip Code:97058-3398
Practice Address - Country:US
Practice Address - Phone:541-506-5819
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-12-15
Last Update Date:2021-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORTHW000105863172V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
ORTHW000105863OtherSTATE OF OREGON THW REGISTRY