| Nancy Wood | |
|
2262 N Albina Ave Ste 12b Portland OR 97227-1792 | |
| (971) 678-4501 | |
| Not Available |
| Full Name | Nancy Wood |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2262 N Albina Ave Ste 12b, Portland, Oregon |
| Authorized Official Name and Position | Nancy Castor Wood (OWNER) |
| Authorized Official Contact | 9716784501 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nancy Wood 1404 Ne Hancock St Apt 1 Portland OR 97212-4439 Ph: (503) 678-4501 | Nancy Wood 2262 N Albina Ave Ste 12b Portland OR 97227-1792 Ph: (971) 678-4501 |
| NPI Number | 1376020552 |
|---|---|
| Provider Enumeration Date | 07/20/2018 |
| Last Update Date | 07/20/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376020552 | NPI | - | NPPES |
| 1710069075 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 3024 (Oregon) | Primary |
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