Wood, Jeffery

Wood, Jeffery is an individual health care provider with primary practice located at 1701 Nw Hawthorne Ave #103, Grants Pass OR 97526-1257. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Wood, Jeffery can be contacted via phone (541) 476-2502.

Contact Information

Primary practice address
1701 Nw Hawthorne Ave #103 Grants Pass OR 97526-1257
Phone: (541) 476-2502
Fax: (541) 476-2397
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 2237 Oregon

Profile Details

NPI number 1376527424
LBN Legal business name Wood, Jeffery
Credentials M.S., P.T.
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 2nd, 2005
Last updated Mar 7th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376527424 NPPES
Oregon MEDICAID 116582

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