Individual
CHARLES M WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4212 NE BROADWAY ST, PORTLAND, OR 97213-1422
(503) 249-8787
(503) 284-5168
Mailing address
4212 NE BROADWAY ST, PORTLAND, OR 97213-1422
(503) 249-8787
(503) 284-5168
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD00034537
WA
207R00000X
Internal Medicine Physician
Primary
MD13265
OR
Other
Enumeration date
12/27/2006
Last updated
03/25/2024
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