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Individual

BRIAN EUGENE WOOD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
QMHA

Contact information

Practice address
780 COMMERCIAL ST SE, SUITE 104, SALEM, OR 97301-3462
(503) 365-0045
(503) 365-9590
Mailing address
780 COMMERCIAL ST SE, SUITE 104, SALEM, OR 97301-3462
(503) 365-0045
(503) 365-9590

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
09/01/2009
Last updated
09/01/2009
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