Provider Demographics
NPI:1417834441
Name:UNDERWOOD, ROXY (CHW, BS)
Entity type:Individual
Prefix:
First Name:ROXY
Middle Name:
Last Name:UNDERWOOD
Suffix:
Gender:F
Credentials:CHW, BS
Other - Prefix:
Other - First Name:ALEX
Other - Middle Name:
Other - Last Name:UNDERWOOD
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:CHW, BS
Mailing Address - Street 1:PO BOX 827
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97440-0827
Mailing Address - Country:US
Mailing Address - Phone:541-321-0872
Mailing Address - Fax:541-632-8952
Practice Address - Street 1:440 MAXWELL RD
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97404-2355
Practice Address - Country:US
Practice Address - Phone:541-321-0872
Practice Address - Fax:541-632-8952
Is Sole Proprietor?:No
Enumeration Date:2025-08-20
Last Update Date:2025-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR172V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker