MEDICARE: LAURYN MICHELLE HOOD FNP-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	APRN.CNP.15421	OH

General Provider Information

NPI Number	:	1922439066
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAURYN MICHELLE HOOD FNP-C

Provider Business Mailing Address
First Line	:	111 SW NAITO PKWY
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97204-3512
Country	:	US
Telephone Number	:	888-288-4715
Fax Number	:

Provider Business Practice Location Address
First Line	:	20046 WALKER RD STE 7
Second Line	:
City	:	SHAKER HEIGHTS
State	:	OH
Zip	:	44122-3645
Country	:	US
Telephone Number	:	888-288-4715
Fax Number	:	833-260-2594

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/27/2013
Last Update Date	:	04/09/2026

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