Individual
PATRICK BRIAN WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
930 SW ABBEY ST STE A, NEWPORT, OR 97365-4820
(541) 265-8816
Mailing address
PO BOX 2847, CORVALLIS, OR 97339-2847
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
024466
LA
207Q00000X
Family Medicine Physician
21791
MS
207Q00000X
Family Medicine Physician
60068993
WA
207Q00000X
Family Medicine Physician
Primary
MD206776
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03301011
—
MS
05
—
1572187
—
LA
01
—
P01036768
RR MEDICARE
MS
Enumeration date
07/17/2006
Last updated
10/20/2021
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