| Doctor Name: | ROBERT C WOODBURY |
| NPI Number: | 1750354627 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DO |
| License Number: | OP00001880 |
| Business Practice Address: | 17191 Bothell Way Ne Suite 205 Lake Forest Park, WA - 981555534 |
| Business Phone Number: | 2063648272 |
| Business Fax Number: | 2063645418 |
| Mailing Address: | 17191 Bothell Way Ne, Suite 205 LAKE FOREST PARK |
| State: | WA |
| Postal Code: | 981555534 |
| Phone Number: | 2063648272 |
| Fax Number: | 2063645418 |
| NPI Enumeration Date: | 02/09/2006 |
| NPI Last Update Date: | 08/13/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 204D00000X |
| License Number: | OP00001880 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Neuromusculoskeletal Medicine & OMM |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |