Wood, Kailey A

Wood, Kailey A is an individual health care provider with primary practice located at 11719 Ne 95Th St Ste A , Vancouver WA 98682-2444. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Community Health Worker, Other Service Providers / Peer Specialist. Other Service Providers / Peer Specialist is her primary health care specialty. Wood, Kailey A can be contacted via phone (503) 490-2292.

Contact Information

Primary practice address
11719 Ne 95Th St Ste A Vancouver WA 98682-2444
Phone: (503) 490-2292
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X PHW2019 Oregon
Other Service Providers / Peer Specialist 175T00000X THW2019 Oregon
Other Service Providers / Peer Specialist 175T00000X CG61009839 Washington

Profile Details

NPI number 1053821736
LBN Legal business name Wood, Kailey A
Credentials PSS
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2017
Last updated Nov 18th, 2019 - about 5 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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