Most Relevant Information
Provider Data
| NPI Number: | 1003325200 |
| Provider Name: | TED WOODRUFF CRM |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: | 14-CRM-024 |
Most Important Dates
| Enumeration Date: | 09/20/2017 |
| Last Updated: | 07/06/2021 |
Provider Practice Location
3425 13TH ST
BAKER CITY
OR
978141340
Practice Location Phone/Fax
| Phone: | 5415237400 |
| Fax: | 5415234927 |
Provider Mailing Location
3425 13TH ST
BAKER CITY
OR
978141340
Provider Mailing Phone/Fax
| Phone: | 5415237400 |
| Fax: | 5415234927 |