Wood, Kenneth
Wood, Kenneth is an sole proprietor health care provider with primary practice located at 1376 Fruitvale Rd # Day , Newport OR 97365-9671. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Wood, Kenneth can be contacted via phone (541) 265-7945.Contact Information
Primary practice address
1376 Fruitvale Rd # Day
Newport OR 97365-9671
Phone: (541) 265-7945
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | Oregon |
Profile Details
| NPI number | 1134770332 |
|---|---|
| LBN Legal business name | Wood, Kenneth |
| Credentials | CRM |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 28th, 2019 |
| Last updated | Jan 15th, 2020 - 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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