Provider Demographics
NPI:1699817460
Name:DONATO AND WOOD CONSULTING, INC
Entity Type:Organization
Organization Name:DONATO AND WOOD CONSULTING, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JEFFERY
Authorized Official - Middle Name:C
Authorized Official - Last Name:WOOD
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:541-476-2502
Mailing Address - Street 1:544 UNION AVE
Mailing Address - Street 2:
Mailing Address - City:GRANTS PASS
Mailing Address - State:OR
Mailing Address - Zip Code:97527-5544
Mailing Address - Country:US
Mailing Address - Phone:541-955-0940
Mailing Address - Fax:541-955-5233
Practice Address - Street 1:544 UNION AVE
Practice Address - Street 2:
Practice Address - City:GRANTS PASS
Practice Address - State:OR
Practice Address - Zip Code:97527-5544
Practice Address - Country:US
Practice Address - Phone:541-955-0940
Practice Address - Fax:541-955-5233
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-12
Last Update Date:2017-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR229162Medicaid
ORR102653Medicare PIN
ORR102653Medicare UPIN
OR229162Medicaid