Healthcare Provider Details

I. General information

NPI: 1952326266
Provider Name (Legal Business Name): NISHA MARIE WOODS MS, WHCNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/13/2006
Last Update Date: 08/13/2025
Certification Date: 08/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3265 HILLCREST PARK DR
MEDFORD OR
97504-7657
US

IV. Provider business mailing address

3156 STATE ST
MEDFORD OR
97504-8450
US

V. Phone/Fax

Practice location:
  • Phone: 541-275-6655
  • Fax: 541-494-0945
Mailing address:
  • Phone: 541-773-9772
  • Fax: 541-773-1113

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number86006299
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: