Woodruff, Ted

Woodruff, Ted is an individual health care provider with primary practice located at 3425 13Th St , Baker City OR 97814-1340. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Other Service Providers / Peer Specialist. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Woodruff, Ted can be contacted via phone (541) 523-7400.

Contact Information

Primary practice address
3425 13Th St Baker City OR 97814-1340
Phone: (541) 523-7400
Fax: (541) 523-4927
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 14-CRM-024 Oregon
Other Service Providers / Peer Specialist 175T00000X THW000000864 Oregon
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X T-20-391 Oregon

Profile Details

NPI number 1003325200
LBN Legal business name Woodruff, Ted
Credentials CRM
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2017
Last updated Jul 6th, 2021 - about 4 years ago

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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1003325200 NPPES
Oregon MEDICAID 500609571
Oregon Other 14-CRM-024

Popular Providers