CHARLES TODD WOOLLEY MD NPI 1962480996

NPI Information

  • NPI: 1962480996
  • Provider Name: CHARLES TODD WOOLLEY, MD
  • Classification: Specialist - 174400000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2222 NW LOVEJOY
    SUITE 401
    PORTLAND, OR
    ZIP 97210
  • Phone: (503) 274-4865

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NPI Details

Charles Todd Woolley, MD is a specialist in Portland, OR. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. Charles Todd Woolley, MD NPI is 1962480996. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2222 NW LOVEJOY
SUITE 401
PORTLAND, OR
ZIP 97210
Phone: (503) 274-4865
Fax: (503) 274-4989

The NPI 1962480996 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/9/2006 and was last updated on 9/10/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistMD23565OREGONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1286747MEDICAIDOREGON
2R112766MEDICARE PINOREGON
3H27437MEDICARE UPINOREGON
4R112766MEDICARE PIN
5H27437MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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