Individual
MR. DEREK ALLEN WOODRUFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1333 1ST ST, SPRINGFIELD, OR 97477-3002
(541) 736-2700
Mailing address
31409 OAK PLAIN DR, HALSEY, OR 97348-9757
(541) 913-0137
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
9657
OR
Other
Enumeration date
05/04/2023
Last updated
05/04/2023
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