Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Miss. Jackie Marcella Wolf, PT

Individual provider Physical Therapist · NPI 1053502104

Miss. Jackie Marcella Wolf, PT is a Physical Therapist in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2007.

Licensed in
OR
In the registry since
2007
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

1111 NE 99th Ave
Portland, OR 97220
Phone: (503) 216-5410
Fax: (503) 216-5420
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 5452 (OR)

Record details

NPI number1053502104
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedAugust 5, 2007
Last updated in NPPESJuly 31, 2018

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