Individual
ROXIE LEE WOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
QMHA
Contact information
Practice address
780 COMMERCIAL ST SE, STE 304, SALEM, OR 97301-3462
(503) 365-0045
(503) 365-9590
Mailing address
255 N GREENWOOD RD, RICKREALL, OR 97371-9739
(503) 831-3230
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/03/2007
Last updated
07/08/2007
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