Healthcare Provider Details

I. General information

NPI: 1083545487
Provider Name (Legal Business Name): LOUISE MADDISON WOOD MBBS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/26/2026
Last Update Date: 05/26/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

SHRINERS HOSPITALS FOR CHILDREN, PORTLAND 3101 SW SAM JACKSON PARK ROAD
PORTLAND OR
97239-3009
US

IV. Provider business mailing address

SHRINERS HOSPITALS FOR CHILDREN, PORTLAND 3101 SW SAM JACKSON PARK ROAD
PORTLAND OR
97239-3009
US

V. Phone/Fax

Practice location:
  • Phone: 503-221-3424
  • Fax: 503-221-3490
Mailing address:
  • Phone: 503-221-3424
  • Fax: 503-221-3490

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: