Charles Todd Woolley MD PC

NPI #1790964062 in Portland, Oregon

Provider Information

NPI Number: 1790964062
Entity Type: Organization
Organization Name: Charles Todd Woolley MD PC
Primary Specialty: Specialist
Enumeration Date: Nov 2, 2007
Last Updated: Nov 9, 2007

Practice Location

Address: 10101 SE MAIN ST
Address 2: SUITE 3008
City: Portland
State: Oregon
ZIP Code: 97216-2455
Phone: (503) 253-3268

Authorized Official

Name: MRS. JANICE LEE SPENCER
Title: MANAGER
Phone: (503) 253-3268

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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