Individual provider · Type 1 NPI

Lydia Ruthann Woody

Mental Health Counselor · Phoenix, OR

NPI number 1730703380 Active

Practice location

745 N Rose St
Phoenix, OR 97535-5704

Call (541) 535-6329 Map

Mailing address

931 Chevy Way
Medford, OR 97504-4127

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XC10762 (OR)
Counselor 101Y00000XNone listed

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About NPI 1730703380

Lydia Ruthann Woody's National Provider Identifier is 1730703380, issued on May 29, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Phoenix, OR. The record was last updated on Nov 5, 2025.