Individual provider · Type 1 NPI

Alexander Woodard

Mental Health Counselor · Portland, OR

NPI number 1700297892 Active

Practice location

12511 SE Raymond St
Portland, OR 97236-3931

Fax (503) 761-2584

Mailing address

3587 Heathrow Way
Medford, OR 97504-4004

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1700297892

Alexander Woodard's National Provider Identifier is 1700297892, issued on May 12, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Jul 22, 2020.