Provider Demographics
NPI:1508949108
Name:RENEE L WOODS, MD PC
Entity Type:Organization
Organization Name:RENEE L WOODS, MD PC
Other - Org Name:GENEVAN HEALTHCARE
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RENEE
Authorized Official - Middle Name:
Authorized Official - Last Name:WOODS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:509-888-3333
Mailing Address - Street 1:PO BOX 3363
Mailing Address - Street 2:
Mailing Address - City:WENATCHEE
Mailing Address - State:WA
Mailing Address - Zip Code:98807-3363
Mailing Address - Country:US
Mailing Address - Phone:509-888-3333
Mailing Address - Fax:509-888-3300
Practice Address - Street 1:1325 PRINCETON AVE N
Practice Address - Street 2:
Practice Address - City:WENATCHEE
Practice Address - State:WA
Practice Address - Zip Code:98801-1438
Practice Address - Country:US
Practice Address - Phone:509-888-3333
Practice Address - Fax:509-888-3300
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAG8859184Medicare ID - Type UnspecifiedGROUP NUMBER