Individual
JUSTIN WOODRUFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRM/ADDICTIONS COUNS
Contact information
Practice address
2901 E BURNSIDE ST, PORTLAND, OR 97214-1831
(503) 238-5203
Mailing address
2901 E BURNSIDE ST, PORTLAND, OR 97214-1831
(503) 238-5203
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
12/04/2015
Last updated
12/04/2015
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