Debra Ann Wood II, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

23664 Issued in OR

Practice address

2403 SE Monroe St
Suite A3
Milwaukie, OR 97222-7646

Phone

(503) 860-8998

Fax

(503) 536-8224

NPI assigned

Mar 12, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Nourishing Medicine

  • Acupuncturist
  • Portland, OR
  • NPI 1558907436
  NPD
• Nourishing Medicine, Inc.

  • Acupuncturist
  • Portland, OR
  • NPI 1861784035
  NPD (past)

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

{
    "created_epoch": "1583971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583971200000",
    "number": "1326673138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2403 SE MONROE ST",
            "address_2": "SUITE A3",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972227646",
            "telephone_number": "503-860-8998",
            "fax_number": "503-536-8224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2403 SE MONROE ST",
            "address_2": "SUITE A3",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972227646",
            "telephone_number": "503-860-8998",
            "fax_number": "503-536-8224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "DEBRA",
        "middle_name": "ANN",
        "name_suffix": "II",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-12",
        "last_updated": "2020-03-12",
        "certification_date": "2020-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "23664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Eleanor Wolf Rambo, PT
• Nicholas Thomas Wolfgang, MD
• Kimberly Marie Wolford
• Bermen Wong, DDS
• Kelli M Wong, OCCUPATIONAL THERAPI
• John Morrison Wood, OTR
• Michelle Diane Wood, OCCUPATIONAL THERAPI
• Sandra Lynn Wood, COTA/L
• Diane Marie Woodson, PHYSICAL THERAPIST
• Roger Allen Wooley, DMD

• Massage Therapist in Milwaukie, OR
• Providers in Milwaukie, OR by specialty
• Massage Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2020; 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.