NPI 1639534605

Paul Woodhead

Practitioner Independent Duty Corpsman North Bend, OR

Practice location

Address: 2000 Connecticut Ave Sector North Bend Medical, North Bend, OR 97459-2300
Phone: (541) 756-9234

Registered specialties

Independent Duty Corpsman Primary

Other Service Providers Taxonomy 1710I1002X

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Registry record

NPI: 1639534605
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Dec 2015
Record last updated: 17 Dec 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.