Individual
ANNIE HOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3910 SE STARK ST, PORTLAND, OR 97214-3241
(503) 890-8245
Mailing address
3910 SE STARK ST, PORTLAND, OR 97214-3241
(503) 890-8245
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
201393072RN
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
201505050NP-PP
OR
Other
Enumeration date
03/04/2014
Last updated
07/29/2015
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