Mr Theodore Jay Wolfington, is a
Adult Companion based in Portland, Oregon. Mr Theodore Jay Wolfington is licensed to practice in * (Not Available) (license number ) and his current practice location is
4822 Ne 12th Ave, Portland, Oregon. He can be reached at his office (for appointments etc.) via phone at
(503) 287-0606.
NPI number for Mr Theodore Jay Wolfington is 1710025820 and his current mailing address is 4822 Ne 12th Ave, Portland, Oregon. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1710025820.
Healthcare Provider's Profile
Full Name | Mr Theodore Jay Wolfington |
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Gender | Male |
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Speciality | Adult Companion |
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Location | 4822 Ne 12th Ave, Portland, Oregon |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1710025820
- Provider Enumeration Date: 02/01/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mr Theodore Jay Wolfington such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1710025820 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
372600000X | Adult Companion | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Theodore Jay Wolfington is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr Theodore Jay Wolfington, 4822 Ne 12th Ave, Portland, OR 97211-4620 Ph: (503) 287-0606 | Mr Theodore Jay Wolfington, 4822 Ne 12th Ave, Portland, OR 97211-4620 Ph: (503) 287-0606 |
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