Individual
KEVIN WOODS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7078 SE FERN AVE, PORTLAND, OR 97206-9432
(503) 793-7119
Mailing address
7078 SE FERN AVE, PORTLAND, OR 97206-9432
(503) 793-7119
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
10/04/2025
Last updated
10/04/2025
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