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Ted Woodruff, CRM
Addiction (Substance Use Disorder) Counselor in Baker City, Oregon
NPI 1003325200

Ted Woodruff is an Addiction (Substance Use Disorder) Counselor based in Baker City, OR and is specialized in Addiction (Substance Use Disorder). Ted Woodruff practices in Baker City, OR and has the professional credentials of CRM. The NPI Number for Ted Woodruff is 1003325200 and holds a License No. 14-CRM-024 (Oregon).

The current practice location address for Ted Woodruff is 3425 13Th St, Baker City, OR and can be reached out via phone at 541-523-7400 and via fax at 541-523-4927.

Location: 3425 13Th St, Baker City, OR, 97814-1340
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1003325200
Provider Name
Ted Woodruff
Credential
CRM
Provider Entity Type
Individual
Gender
Male
Address
3425 13Th St, Baker City, OR, 97814-1340
Phone Number
541-523-7400
Fax Number
541-523-4927
Provider Enumeration Date
09/20/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
500609571 05 OR
14-CRM-024 01 OR MHACBO CRM
institution
Provider Business Practice Location Address Details
Address
3425 13Th St
City
Baker City
State
Oregon
Zip
97814-1340
Phone Number
541-523-7400
Fax Number
541-523-4927
person
Provider Business Mailing Address Details
Address
3425 13Th St
City
Baker City
State
Oregon
Zip
97814-1340
Phone Number
541-523-7400
Fax Number
541-523-4927
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
THW000000864 (Oregon)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
14-CRM-024 (Oregon)
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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