Whalio Doctors

NPI 1003325200

Theodore Roy Woodruff, CRM

Practitioner Addiction (Substance Use Disorder) Counselor North Bend, OR

Practice location

Address
400 Virginia Ave, North Bend, OR 97459-3477
Phone
(541) 751-0357
Mailing address
PO Box 1121, Roseburg, OR 97470-0254

Registered specialties

Addiction (Substance Use Disorder) Counselor Primary
Behavioral Health & Social Service Providers Taxonomy 101YA0400X Licence T-20-391 (OR)

Registry record

NPI
1003325200
Entity type
Individual
Sex (as registered)
Male
NPI issued
20 Sep 2017
Record last updated
4 Mar 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.