Provider Demographics
NPI:1396852760
Name:ATWOOD, BARBARA L (MD LLC)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:L
Last Name:ATWOOD
Suffix:
Gender:F
Credentials:MD LLC
Other - Prefix:DR
Other - First Name:BARBARA
Other - Middle Name:LEE
Other - Last Name:ATWOOD
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:953 STEVENS DRIVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:RICHLAND
Mailing Address - State:WA
Mailing Address - Zip Code:99352
Mailing Address - Country:US
Mailing Address - Phone:509-946-0802
Mailing Address - Fax:509-946-0104
Practice Address - Street 1:953 STEVENS DRIVE
Practice Address - Street 2:SUITE B
Practice Address - City:RICHLAND
Practice Address - State:WA
Practice Address - Zip Code:99352
Practice Address - Country:US
Practice Address - Phone:509-946-0802
Practice Address - Fax:509-946-0104
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-23
Last Update Date:2014-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA602397859207R00000X
ORMD20338207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1122936Medicaid
WA1122936Medicaid
D33951Medicare UPIN