Doctor Name: | MR. ERIC BRIAN WOODS |
NPI Number: | 1194964627 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | L.M.T. |
License Number: | 13034 |
Business Practice Address: | 1911 Mountain View Ln Suite 200 Forest Grove, OR - 971162382 |
Business Phone Number: | 5034811644 |
Business Fax Number: | 5033574831 |
Mailing Address: | 1911 Mountain View Ln, Suite 200 FOREST GROVE |
State: | OR |
Postal Code: | 971162382 |
Phone Number: | 5034811644 |
Fax Number: | 5033574831 |
NPI Enumeration Date: | 02/06/2009 |
NPI Last Update Date: | 03/10/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | 13034 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OR |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Massage Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |