Healthcare Provider Details

I. General information

NPI: 1396852760
Provider Name (Legal Business Name): BARBARA L ATWOOD MD LLC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: BARBARA LEE ATWOOD MD

II. Dates (important events)

Enumeration Date: 08/23/2006
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

620 NW 11TH ST STE M103
HERMISTON OR
97838-6941
US

IV. Provider business mailing address

620 NW 11TH ST STE M103
HERMISTON OR
97838-6941
US

V. Phone/Fax

Practice location:
  • Phone: 541-667-3797
  • Fax: 541-303-8767
Mailing address:
  • Phone: 541-667-3797
  • Fax: 541-303-8767

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number602397859
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD20338
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: