Individual
JERRY WOODARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
2100 NE BROADWAY ST, STE 335, PORTLAND, OR 97232-1570
(360) 977-4133
(360) 597-4234
Mailing address
10700 NE 65TH ST, VANCOUVER, WA 98662-5388
(360) 977-4133
(360) 597-4234
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L6264
OR
1041C0700X
Clinical Social Worker
LW60070767
WA
Other
Enumeration date
05/08/2007
Last updated
04/15/2026
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