MARK FARREL WOODS
NPI 1164146643
Counselor - Mental Health in Medford, OR
Active since September 28, 2022
About Mark Farrel Woods NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARK FARREL WOODS (NPI 1164146643) is an individual mental health provider in Medford, Oregon and active in the NPI registry since September 2022.
NPPES Registry Identity
NPI1164146643
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMARK FARREL WOODS
Location Address601 N GRAPE STMedford, OR 97501-2421
Mailing Address3587 Heathrow WayMedford, OR 97504-4004 · (541) 858-8170 · Fax (541) 858-8167
Phone(541) 779-8564
Fax(541) 779-9409
Sole ProprietorNo
Enumeration DateSeptember 28, 2022
NPPES CertifiedSeptember 28, 2022
✔ NPI 1164146643 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
601 N GRAPE ST, Medford, OR 97501
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1164146643, enumerated as an "individual" on September 28, 2022.
The provider is located at 601 N GRAPE ST MEDFORD, OR 97501 and the phone number is (541) 779-8564.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
