CHARLES M WOOD


Address: 4212 Ne Broadway St, Portland, OR 97213-1422
Phone: 5032498787

CHARLES M WOOD (NPI# 1902961907) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1902961907
Entity Type Individual
Full Name CHARLES M WOOD
Credential MD
Practice Address 4212 Ne Broadway St
Portland
OR 97213-1422
Practice Telephone 5032498787
Practice Fax Number 5032845168
Mailing Telephone 5032498787
Mailing Fax Number 5032845168
Enumeration Date 2006-12-27
Last Update Date 2009-02-09
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine MD00034537 WA Allopathic & Osteopathic Physicians

Other Providers CHARLES WOOD

NPI Name Taxonomy Address Enumeration
1730246828 Charles Douglas Wood Surgery 501 Yuma Dr, Broken Arrow, OK 74011-7216 2007-01-02
1861574097 Charles Senter Wood Jr. Dentist 715 Calvin Avery Dr, West Memphis, AR 72301 2006-10-19
1871608497 Charles David Wood Orthopaedic Surgery 2017 W I 35 Frontage Rd Ste 250, Edmond, OK 73013 2006-08-21
1588686067 Charles G Wood Dentist 1213 Broad Ave Ste 1, Gulfport, MS 39501-2475 2006-07-24
1104845049 Charles C Wood Physician Assistant 2636 Loudoun St, Virginia Beach, VA 23456-2438 2006-07-19
1225024797 Charles Michael Wood Optometrist 102 N 6th St, Rockport, IN 47635-1460 2005-09-21
1528064144 Charles Owen Wood Neurological Surgery 20 Burdick Expy. W., Minot, ND 58701-4493 2005-06-28
1295738169 Charles Conley Wood Dentist 620 Montana Ave, Santa Monica, CA 90403-1402 2005-05-24
1356834766 Charles Steven Wood Jr. Nurse Practitioner 307 S 13th Ave, Laurel, MS 39440-4342 2018-06-11
1780828046 Charles Wood Pediatrics 4020 N Roxboro St, Durham, NC 27704-2120 2009-04-29

Office Location

Street Address 4212 NE BROADWAY ST
City PORTLAND
State OR
Zip Code 97213-1422

Providers in the same location

NPI Name Taxonomy Address Enumeration
1720082316 Broadway Medical Clinic LLP Clinic/Center 4212 Ne Broadway St, Portland, OR 97213-1460 2005-06-10
1841427572 Michael Mazzotta Internal Medicine 4212 Ne Broadway St, Medical Staff Svcs, Portland, OR 97213-1422 2009-06-21
1487896403 Emily Wasser Puterbaugh Pediatrics 4212 Ne Broadway St, Portland, OR 97213-1422 2009-04-06
1629275508 Melissa Ann Hahn Pediatrics 4212 Ne Broadway St, Portland, OR 97213-1422 2007-07-02
1306964911 Patricia Sandstrom Burke Pediatrics 4212 Ne Broadway St, Portland, OR 97213-1422 2007-03-26
1164563185 Susan Frances Calvert Pharmacist 4212 Ne Broadway St, Portland, OR 97213-1460 2007-02-11
1073670832 Mary Baker Pediatrics 4212 Ne Broadway St, Portland, OR 97213-1460 2007-01-02
1407916513 Anne M Hirsch Internal Medicine 4212 Ne Broadway St, Portland, OR 97213-1460 2006-12-11
1568539195 Douglas E Renouard Internal Medicine 4212 Ne Broadway St, Portland, OR 97213-1460 2006-11-29
1013084573 Luis A Valls Internal Medicine 4212 Ne Broadway St, Portland, OR 97213-1460 2006-11-29
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1831715176 Darnell Jackie Strong Social Worker 435 Ne 78th Ave 'strong Counseling Services', Portland, OR 97213 2020-06-23
1336775907 Redpoint Physical Therapy and Performance LLC Physical Therapist 4200 Ne Flanders St Unit B, Portland, OR 97213 2020-03-16
1801431218 Denise Dorgan-miller Occupational Therapy Assistant Providence Elder Place, 4400 Ne Halsey Suite 200, Portland, OR 97213 2019-11-08
1619435617 Aspiration of Character Counseling Services, LLC Counselor 4424 Ne Glisan St, The Li Wellness Building, Second Floor, Portland, OR 97213 2019-03-08
1578049631 Credena Health LLC Pharmacy 4805 Ne Glisan St Ste 11n321, Portland, OR 97213 2018-07-12
1023507795 Karissa Lynn Schwartz Speech-Language Pathologist Providence Portland Medical Center, 4805 Ne Glisan St, Portland, OR 97213 2018-05-08
1861944506 James Livingston Taylor Chiropractor 5212 Ne Sacremento St., Portland, OR 97213 2016-10-28
1962958520 Caitlin Turner Massage Therapist 4317 Ne Tillamook St., Portland, OR 97213 2016-09-01
1326407008 Julianna Vermeys Counselor 4605 Ne Fremont St., 209a, Portland, OR 97213 2016-02-23
1881059822 Thomas Michael Barrett Counselor 5228 Ne Hoyt St. Bldg. B, Portland, OR 97213 2015-12-17
Find all providers in zip 97213

Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1770107302 Vpa PC Internal Medicine 1500 Ne 15th Ave Apt 431, Portland, OR 97232-4418 2020-05-29
1073167730 Oregon Adult Medicine PC Internal Medicine 2330 Nw Flanders St Ste 201, Portland, OR 97210-3460 2019-07-30
1265889265 Jared Tobolski Internal Medicine 22 Bramhall St Dept Of, Portland, ME 04102-3175 2016-05-19
1528421039 Celine Haotian Zhou Internal Medicine 3181 Sw Sam Jackson Park Rd, L-579, Ohsu, Portland, OR 97239 2016-04-01
1043685407 Michael David Fox Internal Medicine 1015 Nw 22nd Ave # 230, Portland, OR 97210-3025 2015-12-09
1134516701 Anne Longtine Internal Medicine 65 Waterville St, Portland, ME 04101 2015-04-22
1184016099 Wendy W Yu Internal Medicine 9135 Sw Barnes Rd Ste 763, Portland, OR 97225-6777 2015-03-02
1639586191 Stefan Christison Internal Medicine 1120 Nw 20th Ave Ste 110, Portland, OR 97209-1591 2014-07-16
1336551555 Lee Michael Anthony Internal Medicine 9205 Sw Barnes Rd Mt-2800, Portland, OR 97225-6603 2014-05-22
1558772889 Kyaw Zin Thein Internal Medicine 3485 S Bond Ave, Portland, OR 97239-4503 2014-05-08
Find all providers in PORTLAND

Competitor

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City PORTLAND
Zip Code 97213

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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