Individual
DR. CHARLES BAXTER WOODWORTH I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
888 WEST PARK ST., EUGENE, OR 97401
(541) 953-4097
Mailing address
POST OFFICE BOX 747, EUGENE, OR 97440
(541) 953-4097
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD10688
OR
Other
Enumeration date
03/28/2012
Last updated
03/28/2012
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