Provider Demographics
NPI:1679357586
Name:SARA WOOD, ND LLC
Entity Type:Organization
Organization Name:SARA WOOD, ND LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:SARA
Authorized Official - Middle Name:GRACE
Authorized Official - Last Name:WOOD
Authorized Official - Suffix:
Authorized Official - Credentials:ND
Authorized Official - Phone:503-515-8183
Mailing Address - Street 1:9674 SW VENTURA CT
Mailing Address - Street 2:
Mailing Address - City:TIGARD
Mailing Address - State:OR
Mailing Address - Zip Code:97223-1142
Mailing Address - Country:US
Mailing Address - Phone:503-515-8183
Mailing Address - Fax:
Practice Address - Street 1:6464 SW BORLAND RD STE C1
Practice Address - Street 2:
Practice Address - City:TUALATIN
Practice Address - State:OR
Practice Address - Zip Code:97062-8856
Practice Address - Country:US
Practice Address - Phone:503-515-8183
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-22
Last Update Date:2023-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175F00000XOther Service ProvidersNaturopathGroup - Single Specialty