Individual provider · Type 1 NPI
Cory Robert Woodyatt, AGACNP-BC, RN
Acute Care Nurse Practitioner · Portland, OR
NPI number
1114636123
Active
Practice location
3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Other practice locations
- 17084 Pilkington Rd, Lake Oswego, OR 97035-5352 · (503) 575-7653
- 1830 Blankenship Rd Ste 210, West Linn, OR 97068-4179 · (503) 908-5777
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 201900770RN (OR) |
| Acute Care Nurse Practitioner Primary | 363LA2100X | 10024035 (OR) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1114636123
Cory Robert Woodyatt, AGACNP-BC, RN's National Provider Identifier is 1114636123, issued on Nov 17, 2022. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Portland, OR. The record was last updated on Aug 26, 2026.