Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Cory Robert Woodyatt, AGACNP-BC, RN

Individual provider Acute Care Nurse Practitioner · NPI 1114636123

Cory Robert Woodyatt, AGACNP-BC, RN is a Nurse Practitioner in Portland, Oregon. Graduated from Georgetown University School of Medicine in 2023, 3 years ago. Practices with University Professional Services, a 1,704-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
3
Trained at
Georgetown University School of Medicine
Licensed in
OR
In the registry since
2022
Specialties on file
2
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

See every abbreviation used in this directory →

Practice location Address checks out

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone: (503) 494-7551
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 19365 Sw 65th Ave Ste 104, Tualatin, OR 97062-9196 — (503) 575-7653
  • 1830 Blankenship Rd Ste 210, West Linn, OR 97068-4179 — (503) 908-5777

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 10024035 (OR)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence 201900770RN (OR)

Record details

NPI number1114636123
Entity typeIndividual (Type 1)
GenderMale
Credentials AGACNP-BC , RN
Sole proprietorNo
NPI enumeratedNovember 17, 2022
Last updated in NPPESMarch 5, 2025
Certification dateMarch 5, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolGEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Graduated 2023 (3 years in practice)
Group practice University Professional Services — 1704 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Portland