Individual
LAURA E WOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
415 HOLLEY RD, SWEET HOME, OR 97386-1367
(541) 400-1056
Mailing address
415 HOLLEY RD, SWEET HOME, OR 97386-1367
(541) 400-1056
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
CC504214
OR
Other
Enumeration date
09/30/2025
Last updated
09/30/2025
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