Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GLENN M WULF, PA-C
ActivePhysician Assistant · BEND, OR
Registration Details
- NPI Number
- 1144226754
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 28, 2005 (20.813826019193 yrs)
- Last Updated
- Apr 1, 2025
- License
-
PA00975 (OR)
Practice Information
- Address
-
2200 NE NEFF RD STE 200BEND, OR, 977014281Browse OR providers · Browse ZIP 97701
- Phone
- 5413823344
- Fax
- 5413821681
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in BEND, OR
| Name | Credential | NPI |
|---|---|---|
| MARK K SPENCER | PA | 1033114517 |
| KEVIN J KOLCUN | PA | 1679579247 |
| GARY S. LACHENMYER | P.A. | 1821095928 |
| ERICKA C LUCKEL | P.A. | 1851398978 |
| SCOTT R TYLER | PA | 1568460269 |
| MR. SEAN ANTHONY SUTTLE | P.A - C. | 1740287457 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.