Individual
MR. JOHN MORRISON WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
4560 SE INTERNATIONAL WAY, SUITE 101, MILWAUKIE, OR 97222-4628
(541) 555-1212
Mailing address
PO BOX 1662, HOOD RIVER, OR 97031-0662
(541) 387-2023
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
102512
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
242015
—
OR
Enumeration date
11/21/2006
Last updated
01/13/2014
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