Collin Andrew Wulff, DO (STUDENT)

Emergency Medicine Physician · Albany, OR

Individual Active NPI

NPI number 1366896581

Practice location

1046 6TH Ave SW
Albany, OR 97321-1916
Phone
(541) 812-4081

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NPI record

NPI
1366896581
Entity type
Individual (Type 1)
Enumeration date
April 14, 2016
Last updated
June 17, 2021
Certified
June 17, 2021
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Emergency Medicine Physician Primary 207P00000X DO203088 OR
Emergency Medicine Physician 207P00000X 125072358 IL
Student in an Organized Health Care Education/Training Program 390200000X — —

Mailing address

2705 SE Harrison St
Portland, OR 97214-5543
Phone
(541) 990-1194

About Collin Wulff

Collin Andrew Wulff, DO (STUDENT) is a healthcare provider registered in the NPI registry with the primary taxonomy Emergency Medicine Physician (code 207P00000X). The practice location is 1046 6TH Ave SW, Albany, OR 97321-1916. The NPI number 1366896581 was assigned on April 14, 2016 and the record was last updated on June 17, 2021.

Collin Wulff lists 2 licenses in the registry: #DO203088 (OR) for Emergency Medicine Physician; #125072358 (IL) for Emergency Medicine Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Collin Andrew Wulff, DO (STUDENT)?

The NPI number is 1366896581.

What is the phone number of Collin Wulff?

The phone number listed for the practice location is (541) 812-4081.

Where is Collin Wulff located?

1046 6TH Ave SW, Albany, OR 97321-1916.

What is the taxonomy code for Collin Wulff?

The primary taxonomy code is 207P00000X – Emergency Medicine Physician; 2 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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