Individual
JOE D WOOD JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
11160 SW WOOD DUCK PL, BEAVERTON, OR 97007-8295
(503) 329-9195
(503) 521-1593
Mailing address
4900 SW GRIFFITH DR, SUITE 261, BEAVERTON, OR 97005-4648
(503) 329-9195
(503) 521-1593
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1179
OR
Other
Enumeration date
04/18/2007
Last updated
07/08/2007
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