Individual
CHRISTOPHER M WOODS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2973 12TH STREET SE, SALEM, OR 97302-3162
(503) 561-7100
(503) 561-7124
Mailing address
2973 12TH STREET SE, SALEM, OR 97302-3162
(503) 561-7100
(503) 561-7124
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
PA181919
OR
363AM0700X
Medical Physician Assistant
PA181919
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2085135
—
WA
05
—
500731282
—
OR
Enumeration date
05/03/2016
Last updated
07/23/2019
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