Woody, Lydia Ruthann

Woody, Lydia Ruthann is an individual health care provider with primary practice located at 745 N Rose St , Phoenix OR 97535-5704. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Woody, Lydia Ruthann can be contacted via phone (541) 535-6329.

Contact Information

Primary practice address
745 N Rose St Phoenix OR 97535-5704
Phone: (541) 535-6329
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X R6684 Oregon

Profile Details

NPI number 1730703380
LBN Legal business name Woody, Lydia Ruthann
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 29th, 2020
Last updated Aug 12th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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