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CHARLES TODD WOOLLEY MD
NPI 1962480996
Specialist in Portland, OR

Active since January 09, 2006PECOS Enrolled
2222 NW LOVEJOY, SUITE 401, PORTLAND, OR 97210(503) 274-4865(503) 274-4989 Get Directions Write a Review

NPPES record last updated: September 10, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Charles Todd Woolley Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHARLES TODD WOOLLEY MD (NPI 1962480996) is an individual specialist in Portland, Oregon, licensed in Oregon (MD23565) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962480996
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameCHARLES TODD WOOLLEYCredential: MD
Location Address2222 NW LOVEJOY, SUITE 401Portland, OR 97210
Mailing Address2222 Nw Lovejoy, Suite 401Portland, OR 97210 · (503) 274-4865 · Fax (503) 274-4989
Phone(503) 274-4865
Fax(503) 274-4989
Sole ProprietorYes
Enumeration DateJanuary 9, 2006
Last NPPES UpdateSeptember 10, 2009
✔ NPI 1962480996 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in OR · MD23565
Definition
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.
2222 NW LOVEJOY, Portland, OR 97210
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Other Identifiers 5

Medicaid286747OR
Medicare PINR112766OR
Medicare UPINH27437OR
Medicare PINR112766
Medicare UPINH27437

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Charles Todd Woolley Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. THOMAS JAY ROSENBAUM MD
Neurological Surgery
2222 NW LOVEJOY, STE 516
PORTLAND, OR 97210
Multnomah County (503) 229-8470
DR. JERRY E NYE MD
Orthopaedic Surgery (Hand Surgery)
2222 NW LOVEJOY, STE 401
PORTLAND, OR 97210
Multnomah County (503) 274-4865
EDSEL U. KIM, M.D. LLC
Specialist
2222 NW LOVEJOY, SUITE 607
PORTLAND, OR 97210
Multnomah County (503) 222-3638
DIANNE G HEATH AUD
Audiologist
2222 NW LOVEJOY, #607
PORTLAND, OR 97210
Multnomah County (503) 222-3638
CRAIG HERTLER MD LLC
Specialist
2222 NW LOVEJOY, #607
PORTLAND, OR 97210
Multnomah County (503) 222-3638

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charles Woolley's NPI number?

The NPI number for Charles Woolley is 1962480996. It was assigned to this individual provider in the NPPES registry on January 9, 2006.

Where is Charles Woolley located?

Charles Woolley practices at 2222 NW Lovejoy Suite 401, Portland, OR 97210. The listed phone number is (503) 274-4865.

What is Charles Woolley's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Charles Woolley enrolled in Medicare?

Yes. Charles Woolley is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Charles Woolley was last updated on September 10, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.