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Individual

PATRICIA L. WOODS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
C.N.P.

Contact information

Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(740) 504-6957
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(740) 504-6957

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
201241421RN
OR
363L00000X
Nurse Practitioner
Primary
RN233790
OH
363LA2200X
Adult Health Nurse Practitioner
201250077NP
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2513579
OH
Enumeration date
08/07/2006
Last updated
07/31/2012
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