Individual
CARLA JEAN GRINUCK-WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1375 NW KINGSTON AVE, BEND, OR 97701-2242
(541) 383-5958
Mailing address
1375 NW KINGSTON AVE, BEND, OR 97701-2242
(541) 383-5958
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201050084NP
OR
Other
Enumeration date
08/12/2010
Last updated
08/12/2010
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