O'Neal-Woodruff, Patricia Ann
O'Neal-Woodruff, Patricia Ann is an individual health care provider with primary practice located at 1705 Main St Ste 103 , Baker City OR 97814-3459. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. O'Neal-Woodruff, Patricia Ann can be contacted via phone (503) 935-2006.Contact Information
Primary practice address
1705 Main St Ste 103
Baker City OR 97814-3459
Phone: (503) 935-2006
Fax: (541) 239-5414
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | Oregon | |
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | C5438 | Oregon |
Profile Details
NPI number | 1942332853 |
---|---|
LBN Legal business name | O'Neal-Woodruff, Patricia Ann |
Credentials | LPC, CADC II |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 9th, 2007 |
Last updated | Oct 26th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1942332853 | NPPES |
Oregon | MEDICAID | 500760860 | |
Oregon | MEDICAID | 101279 |
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