Organization
CHARLES TODD WOOLLEY MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JANICE LEE SPENCER (MANAGER)
(503) 253-3268
Entity
Organization
Contact information
Practice address
10101 SE MAIN ST, SUITE 3008, PORTLAND, OR 97216-2455
(503) 253-3268
(503) 253-1530
Mailing address
10101 SE MAIN ST, SUITE 3008, PORTLAND, OR 97216-2455
(503) 253-3268
(503) 253-1530
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD23565
OR
Other
Enumeration date
11/02/2007
Last updated
11/09/2007
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