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Organization
C.TODD WOOLLEY MD PC
Active
Organization
C.TODD WOOLLEY MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES T WOOLLEY MD (PRESIDENT)
(503) 274-4865
Entity
Organization
Contact information
Practice address
2222 NW LOVEJOY ST STE 401, PORTLAND, OR 97210-5102
(503) 274-4865
(503) 274-4989
Mailing address
2222 NW LOVEJOY ST STE 401, PORTLAND, OR 97210-5102
(503) 274-4865
(503) 274-4989
Taxonomy
Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
MD23565
OR
Other
Enumeration date
08/04/2009
Last updated
08/04/2009
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