Individual
MICAH WOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSN, RN
Contact information
Practice address
8495 CRATER LAKE HWY, WHITE CITY, OR 97503-3011
(541) 826-2111
Mailing address
2310 RIDGE WAY, MEDFORD, OR 97504-6357
(541) 621-8685
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
201143376RN
OR
Other
Enumeration date
07/20/2022
Last updated
07/20/2022
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