JOE D WOOD JR. (NPI# 1417174020) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417174020 |
| Entity Type | Individual |
| Full Name | JOE D WOOD JR. |
| Credential | PSYD |
| Practice Address |
11160 Sw Wood Duck Pl Beaverton OR 97007-8295 |
| Mailing Address |
4900 Sw Griffith Dr Suite 261 Beaverton OR 97005-4648 |
| Practice Telephone | 5033299195 |
| Practice Fax Number | 5035211593 |
| Mailing Telephone | 5033299195 |
| Mailing Fax Number | 5035211593 |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
1179 | OR | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295016970 | Joe Hunter Wood | Pharmacist | 1095 Filbert Hwy, York, SC 29745-2158 | 2011-09-08 |
| 1396995023 | Joe Dunham Wood IIi | Psychologist | Usafsam/fecn, Bldg 840, Area B, 2510 Fifth Street, Wright-patterson Afb, OH 45433 | 2008-09-30 |
| Street Address |
11160 SW WOOD DUCK PL |
| City | BEAVERTON |
| State | OR |
| Zip Code | 97007-8295 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891272225 | Ben Shepherd Cohn | Massage Therapist | 16088 Sw Hillary Pl, Beaverton, OR 97007 | 2018-07-27 |
| 1013410455 | Taryn Weslie Van Vliet | Counselor | Forward Stride, 23839 Sw Daniel Rd., Beaverton, OR 97007 | 2018-03-12 |
| 1588181184 | Sarah Rennalls | Massage Therapist | 16315 Sw Barrows Road #203, Beaverton, OR 97007 | 2017-08-24 |
| 1982137501 | Patrick N Huynh | Nurse Practitioner | 14795 Sw Scholls Dr., Beaverton, OR 97007 | 2017-04-10 |
| 1841675428 | Jessica C Moore | Social Worker | 4585 Sw185th Ave, Beaverton, OR 97007 | 2015-07-24 |
| 1205233913 | Julie Guzman | Case Manager/Care Coordinator | 4585 Sw 185th Ave., Beaverton, OR 97007 | 2014-11-24 |
| 1255738183 | Jennifer Kenedy | Case Manager/Care Coordinator | 4585 Sw 185th Avenue, Aloha, OR 97007 | 2014-11-20 |
| 1053754069 | Dr Bob Health Centre | Internal Medicine | 16325 Sw Sexton Mountain Dr, Beaverton, OR 97007 | 2013-04-09 |
| 1518211713 | Rosebelinda S Nelson | Dental Hygienist | 3895 Sw 18th Ave. #170, Aloha, OR 97007 | 2012-11-09 |
| 1073871240 | Suzanne Mcreynolds | Mechanotherapist | 16784 Sw Vincent St, Beaverton, OR 97007 | 2012-04-25 |
| Find all providers in zip 97007 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659916401 | Northwest Child Assessment, LLC | Psychologist | 8228 Sw 171st Pl, Beaverton, OR 97007-6787 | 2019-11-14 |
| 1801445952 | Tamara Tasker | Psychologist | 9244 Sw 149th Ave, Beaverton, OR 97007-8558 | 2019-09-10 |
| 1598047045 | Dianna Harris | Psychologist | 10700 Sw Beaverton Hillsdale Hwy Ste 460, Beaverton, OR 97005-4736 | 2011-09-11 |
| 1457529190 | Laurel Ellen Hughes | Psychologist | 13725 Sw Berthold St, Beaverton, OR 97005-4353 | 2008-02-15 |
| 1538364617 | Kathryn Elizabeth Marshall | Psychologist | 1140 Sw 160th Ave, Beaverton, OR 97006-5055 | 2007-06-18 |
| 1003936196 | Allan F. Chino | Psychologist | 195 Sw 144th Ave, Beaverton, OR 97006-5954 | 2007-03-30 |
| 1508993809 | Erica Heather Vo | Psychologist | 6107 Sw Murray Blvd # 306, Beaverton, OR 97008-4421 | 2007-02-27 |
| 1356499008 | Steven Malone | Psychologist | 3800 Sw Cedar Hills Blvd Ste 229, Beaverton, OR 97005-4761 | 2007-01-08 |
| 1396850129 | Deborah Lee Winer | Psychologist | 10700 S.w. Beaverton-hillsdale Highway, Suite 500, Beaverton, OR 97005-3037 | 2006-08-20 |
| 1164401329 | Connie A. O'reilly | Psychologist | 18156 Nw Cambray St, Beaverton, OR 97006-3432 | 2006-01-15 |
| Find all providers in BEAVERTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.