Jamie Wood

Primary specialty

SpecialistTaxonomy code 174400000X

Practice address

2607 Martin Way E Ste 211
Olympia, WA 98506-6707

Phone

(360) 890-8964

NPI assigned

Jul 21, 2026

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Constellation Autumn Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1784592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784592000000",
    "number": "1104746833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 W RIVERSIDE AVE # 8161",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992010580",
            "telephone_number": "360-355-8469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2607 MARTIN WAY E STE 211",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985066707",
            "telephone_number": "360-890-8964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "JAMIE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-07-21",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CONSTELLATION",
            "last_name": "AUTUMN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Warangkhana Wongba, M.D.
• Chanel Wood, MD
• Franklin H Wood Jr., MD
• Gary Lee Wood, MD
• Griffin Wood, LSWAIC
• Madeline Lee Wood, ARNP
• Peter Brodie Wood, M.D.
• Woodard Creek Healthcare LLC
• Woodard SNF Operations LLC
• Melinda Woodard

• Specialist in Olympia, WA
• Providers in Olympia, WA by specialty
• Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.