Provider Demographics
NPI:1578443628
Name:WOOD-MILAM, UNIQUE ANNALISE
Entity type:Individual
Prefix:
First Name:UNIQUE
Middle Name:ANNALISE
Last Name:WOOD-MILAM
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:815 W BELLWOOD DR APT 45
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99218-2860
Mailing Address - Country:US
Mailing Address - Phone:503-741-0440
Mailing Address - Fax:509-206-9500
Practice Address - Street 1:3012 N NEVADA ST STE 1
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99207-2800
Practice Address - Country:US
Practice Address - Phone:503-741-0440
Practice Address - Fax:509-206-9500
Is Sole Proprietor?:No
Enumeration Date:2025-09-08
Last Update Date:2025-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator