Individual
DR. ROBERT J WOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS MD
Contact information
Practice address
11565 SW DURHAM RD, SUITE 100, TIGARD, OR 97224-3553
(503) 747-5806
(503) 747-7946
Mailing address
11565 SW DURHAM RD, SUITE 100, TIGARD, OR 97224-3553
(503) 747-5806
(503) 747-7946
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
5220
LA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
D8674
OR
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
MD 26175
OR
Other
Enumeration date
06/07/2007
Last updated
08/22/2014
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