Nancy Wood

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

3024 Issued in OR

Legal business name

NANCY WOOD

Practice address

2262 N Albina Ave Ste 12B
Portland, OR 97227-1792

Phone

(971) 678-4501

NPI assigned

Jul 20, 2018

Organization subpart

No

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

Authorized official

Name

Nancy Castor Wood, LCSW

Title

Owner

Phone

(971) 678-4501

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1532044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532044800000",
    "number": "1376020552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1404 NE HANCOCK ST APT 1",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972124439",
            "telephone_number": "503-678-4501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2262 N ALBINA AVE STE 12B",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972271792",
            "telephone_number": "971-678-4501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NANCY WOOD",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-20",
        "last_updated": "2018-07-20",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "CASTOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "971-678-4501",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "3024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1710069075",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nancy Borman, D.O., PC
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• Nancy Kahaner DO PC
• Nancy Ledbetter RN, CNS, Apng, Aocns
• Nancy Yen Shipley MD LLC (Form & Function Orthopaedics)
• Reena Nandihalli, DO
• Maanasa Durga Nandula, MA
• Nani Waddoups Counseling
• Nanise Azee LLC

• Mental Health Counselor in Portland, OR
• Providers in Portland, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2018; 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.