Individual
DR. MARCIA JOHNSTON WOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
5441 SW MACADAM, SUITE104, PORTLAND, OR 97239-3821
(503) 248-4511
(503) 248-6385
Mailing address
5441 SW MACADAM, SUITE104, PORTLAND, OR 97239-3821
(503) 248-4511
(503) 248-6385
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1060
OR
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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