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THEODORE ROY WOODRUFF CRM
NPI 1003325200
Counselor - Addiction (Substance Use Disorder) in North Bend, OR

Active since September 20, 2017
400 VIRGINIA AVE, NORTH BEND, OR 97459(541) 751-0357 Get Directions Write a Review

NPPES record last updated: March 4, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 4, 2026, Jul 6, 2021, Jun 16, 2018 and 1 more (4 updates tracked since 2017).

About Theodore Roy Woodruff Crm NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THEODORE ROY WOODRUFF CRM (NPI 1003325200) is an individual addiction (substance use disorder) provider in North Bend, Oregon, licensed in Oregon (T-20-391) and active in the NPI registry since September 2017.

NPPES Registry Identity

NPI1003325200
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameTHEODORE ROY WOODRUFFCredential: CRM
Location Address400 VIRGINIA AVENorth Bend, OR 97459-3477
Mailing AddressPo Box 1121Roseburg, OR 97470-0254 · (541) 672-2691
Phone(541) 751-0357
Sole ProprietorNo
Enumeration DateSeptember 20, 2017
Last NPPES UpdateMarch 4, 20264 updates tracked since enumeration
NPPES CertifiedMarch 4, 2026
✔ NPI 1003325200 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in OR · T-20-391
400 VIRGINIA AVE, North Bend, OR 97459
Open in Google Maps ↗

Other Identifiers 2

Medicaid500609571OR
Other14-CRM-024OR · Mhacbo Crm

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. JON BYRON ALBRIGHT
Counselor (Addiction (Substance Use Disorder))
400 VIRGINIA AVE, #201
NORTH BEND, OR 97459
Coos County (541) 751-0357
MRS. ROBERTA GOLDIE GRENIER CADC II
Counselor (Addiction (Substance Use Disorder))
400 VIRGINIA AVE, #201
NORTH BEND, OR 97459
Coos County (541) 751-0357
ANDREA MAINE
Peer Specialist
400 VIRGINIA AVE
NORTH BEND, OR 97459
Coos County (541) 751-0357
ADAPT
Counselor (Addiction (Substance Use Disorder))
400 VIRGINIA AVE, SUITE 201
NORTH BEND, OR 97459
Coos County (541) 751-0357
MRS. KATHRYN L. BUCKWALD B.S., CADC II, CGACI
Counselor (Addiction (Substance Use Disorder))
400 VIRGINIA AVE, #201
NORTH BEND, OR 97459
Coos County (541) 751-0357
MRS. CINDEE LEE STEPPING CAC
Counselor (Addiction (Substance Use Disorder))
400 VIRGINIA AVE, #201
NORTH BEND, OR 97459
Coos County (541) 751-0357
RENE P KIDINGER
Peer Specialist
400 VIRGINIA AVE
NORTH BEND, OR 97459
Coos County (541) 751-0357
MELISSA S ELLIOTT LCDC, CADC II
Counselor (Addiction (Substance Use Disorder))
400 VIRGINIA AVE
NORTH BEND, OR 97459
Coos County (541) 751-0357

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Theodore Woodruff's NPI number?

The NPI number for Theodore Woodruff is 1003325200. It was assigned to this individual provider in the NPPES registry on September 20, 2017.

Where is Theodore Woodruff located?

Theodore Woodruff practices at 400 Virginia Ave, North Bend, OR 97459. The listed phone number is (541) 751-0357.

What is Theodore Woodruff's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Theodore Woodruff was last updated on March 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.