Individual
ROBERT C WOODBURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
17191 BOTHELL WAY NE, SUITE 205, LAKE FOREST PARK, WA 98155-5534
(206) 364-8272
(206) 364-5418
Mailing address
17191 BOTHELL WAY NE, SUITE 205, LAKE FOREST PARK, WA 98155-5534
(206) 364-8272
(206) 364-5418
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
OP00001880
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8450397
—
WA
01
—
P00283394
RAILROAD MEDICARE
WA
Enumeration date
02/09/2006
Last updated
08/13/2008
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