| Sara Wood, Nd Llc | |
|
4085 Sw 109th Ave Suite 200 Beaverton OR 97005-3000 | |
| (503) 643-1024 | |
| (503) 644-1293 |
| Full Name | Sara Wood, Nd Llc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 4085 Sw 109th Ave, Beaverton, Oregon |
| Authorized Official Name and Position | Sara Grace Wood (OWNER) |
| Authorized Official Contact | 5035158183 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sara Wood, Nd Llc 5310 Sw Erickson Ave Beaverton OR 97005-3849 Ph: (503) 515-8183 | Sara Wood, Nd Llc 4085 Sw 109th Ave Suite 200 Beaverton OR 97005-3000 Ph: (503) 643-1024 |
| NPI Number | 1962799353 |
|---|---|
| Provider Enumeration Date | 07/06/2011 |
| Last Update Date | 07/06/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962799353 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | 1551 (Oregon) | Primary |
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