Active NPI
William Wood MD Surgical Oncology LLC
- Surgical Oncology Physician
- Portland, OR
National Provider Identifier
1295163624
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Oncology Physician
- License
- MD15183
- Legal business name
- WILLIAM WOOD MD SURGICAL ONCOLOGY LLC
- Practice address
- 185 NE 102ND Ave
Portland, OR 97220-4169 - Phone
- (503) 253-8490
- Fax
- (503) 253-8497
- NPI assigned
- Oct 22, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. William Joseph Wood Jr., MD
- Title
- President/Provider
- Phone
- (503) 253-8490
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Oncology Physician | 2086X0206X | MD15183 | OR | Primary |
Addresses
Primary practice location
185 NE 102ND Ave
Portland, OR 97220-4169
Mailing address
PO Box 27340
Phoenix, AZ 85061-7340
Phone (602) 943-9200
National Provider Directory
National Provider DirectoryLocations
185 NE 102nd Ave
Portland, OR 97220
Phone (503) 251-1952
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1382400000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1419292800000",
"number": "1295163624",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 27340",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850617340",
"telephone_number": "602-943-9200",
"fax_number": "602-216-3000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "185 NE 102ND AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972204169",
"telephone_number": "503-253-8490",
"fax_number": "503-253-8497"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WILLIAM WOOD MD SURGICAL ONCOLOGY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-10-22",
"last_updated": "2014-12-23",
"status": "A",
"authorized_official_last_name": "WOOD",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "JOSEPH",
"authorized_official_title_or_position": "PRESIDENT/PROVIDER",
"authorized_official_telephone_number": "503-253-8490",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2086X0206X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery, Surgical Oncology",
"state": "OR",
"license": "MD15183",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.