| Doctor Name: | AMY K WOOD |
| NPI Number: | 1891100194 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP-BC |
| License Number: | 201504000NP-PP |
| Business Practice Address: | 900 11th St Se Primary Care Clinic Bandon, OR - 974119114 |
| Business Phone Number: | 5413290154 |
| Business Fax Number: | 5413290296 |
| Mailing Address: | 900 11th St Se, Primary Care Clinic BANDON |
| State: | OR |
| Postal Code: | 974119114 |
| Phone Number: | 5413290154 |
| Fax Number: | 5413290296 |
| NPI Enumeration Date: | 06/25/2014 |
| NPI Last Update Date: | 08/03/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 201504000NP-PP |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OR |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |