MEDICARE: DONATO AND WOOD CONSULTING INC

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	225100000X	Physical Therapist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1902351489
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DONATO AND WOOD CONSULTING INC

Provider Business Mailing Address
First Line	:	544 UNION AVE
Second Line	:
City	:	GRANTS PASS
State	:	OR
Zip	:	97527-5544
Country	:	US
Telephone Number	:	541-476-2502
Fax Number	:	541-955-5233

Provider Business Practice Location Address
First Line	:	114 MOLLY ST
Second Line	:
City	:	GLENDALE
State	:	OR
Zip	:	97442-3001
Country	:	US
Telephone Number	:	541-832-2765
Fax Number	:	541-955-5233

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. JEFFERY C WOOD
Credential	:	PT
Telephone Number	:	541-476-2502

Provider Enumeration Date	:	08/24/2016
Last Update Date	:	08/24/2016

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