Provider Demographics
NPI:1548291115
Name:WOODS, CHRISTOPHER JOHN (PT)
Entity type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:JOHN
Last Name:WOODS
Suffix:
Gender:M
Credentials:PT
Other - Prefix:MR
Other - First Name:CHRISTOPHER
Other - Middle Name:JOHN
Other - Last Name:LINSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:3270 LIBERTY ROAD S
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:OR
Mailing Address - Zip Code:97302
Mailing Address - Country:US
Mailing Address - Phone:503-371-0779
Mailing Address - Fax:503-371-0882
Practice Address - Street 1:3270 LIBERTY ROAD S
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97302
Practice Address - Country:US
Practice Address - Phone:503-387-5449
Practice Address - Fax:503-342-6846
Is Sole Proprietor?:No
Enumeration Date:2006-07-05
Last Update Date:2014-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT24540174400000X
OR6314174400000X, 2251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAP00396705OtherRR MEDICARE #
CAOPT245402Medicare UPIN
CAP00396705OtherRR MEDICARE #