Individual
LISA JO WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10017 NE 13TH AVE, PORTLAND, OR 97211-1563
(541) 806-0341
Mailing address
10017 NE 13TH AVE, PORTLAND, OR 97211-1563
(541) 806-0341
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
OR
Other
Enumeration date
10/29/2025
Last updated
10/29/2025
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