Individual
MR. GLENN WOODS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
2270 NE MCDANIEL LN, MCMINNVILLE, OR 97128-3247
(503) 833-0333
Mailing address
4850 ENTERPRISE RD, DALLAS, OR 97338-9388
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
12341
OR
Other
Enumeration date
09/22/2008
Last updated
09/22/2008
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