Individual
J. WALTER WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
901 E 18TH AVE, EUGENE, OR 97403-1354
(541) 346-3575
Mailing address
2156 SILHOUETTE ST., EUGENE, OR 97402
(541) 505-8758
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1288
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
295841
—
OR
Enumeration date
08/03/2006
Last updated
02/03/2009
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