Woolley, Charles Todd

Woolley, Charles Todd is an sole proprietor health care provider with primary practice located at 2222 Nw Lovejoy Suite 401, Portland OR 97210. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Woolley, Charles Todd can be contacted via phone (503) 274-4865.

Contact Information

Primary practice address
2222 Nw Lovejoy Suite 401 Portland OR 97210
Fax: (503) 274-4989
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MD23565 Oregon

Profile Details

NPI number 1962480996
LBN Legal business name Woolley, Charles Todd
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 9th, 2006
Last updated Sep 10th, 2009 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962480996 NPPES
Oregon MEDICAID 286747

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