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CORY JOHN CALDWELL SUDRC#13587
NPI 1568199669
Counselor - Addiction (Substance Use Disorder) in North Bend, OR

Active since August 08, 2022
400 VIRGINIA AVE STE 201, NORTH BEND, OR 97459(541) 751-0357(541) 751-9985 Get Directions Write a Review

NPPES record last updated: July 29, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 29, 2024, Aug 8, 2022 (2 updates tracked since 2022).

About Cory John Caldwell Sudrc#13587 NPPES

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

CORY JOHN CALDWELL SUDRC#13587 (NPI 1568199669) is an individual addiction (substance use disorder) provider in North Bend, Oregon, licensed in California (13587) and active in the NPI registry since August 2022.

NPPES Registry Identity

NPI1568199669
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameCORY JOHN CALDWELLCredential: SUDRC#13587
Location Address400 VIRGINIA AVE STE 201North Bend, OR 97459-3444
Mailing AddressPo Box 1121Roseburg, OR 97470-0254 · (541) 672-2691
Phone(541) 751-0357
Fax(541) 751-9985
Sole ProprietorNo
Enumeration DateAugust 8, 2022
Last NPPES UpdateJuly 29, 20242 updates tracked since enumeration
NPPES CertifiedJuly 29, 2024
✔ NPI 1568199669 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in CA · 13587
Also ListedPeer SpecialistTaxonomy 175T00000X
400 VIRGINIA AVE STE 201, North Bend, OR 97459
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Other Providers at the Same Location NPPES 20

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

GILBERT JASON ALMEIDA
Peer Specialist
400 VIRGINIA AVE STE 201
NORTH BEND, OR 97459
Coos County (541) 751-0357
MARIA ELENA WHEELER
Peer Specialist
400 VIRGINIA AVE STE 201
NORTH BEND, OR 97459
Coos County (541) 751-0357
ERIC JAMES DUCEY
Counselor (Addiction (Substance Use Disorder))
400 VIRGINIA AVE STE 201
NORTH BEND, OR 97459
Coos County (541) 751-0357
KRISTIAN BETZER
Counselor (Addiction (Substance Use Disorder))
400 VIRGINIA AVE STE 201
NORTH BEND, OR 97459
Coos County (541) 672-2691
BRAIDY ROSE
Counselor (Addiction (Substance Use Disorder))
400 VIRGINIA AVE STE 201
NORTH BEND, OR 97459
Coos County (541) 751-0357
SHAWNA REBECCA CLARK
Registered Nurse
400 VIRGINIA AVE STE 201
NORTH BEND, OR 97459
Coos County (541) 751-0357
ZACHARY MARTIN
Counselor (Addiction (Substance Use Disorder))
400 VIRGINIA AVE STE 201
NORTH BEND, OR 97459
Coos County (541) 672-2691
CYNTHIA LYNN GREEN
Counselor (Addiction (Substance Use Disorder))
400 VIRGINIA AVE STE 201
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 Cory Caldwell's NPI number?

The NPI number for Cory Caldwell is 1568199669. It was assigned to this individual provider in the NPPES registry on August 8, 2022.

Where is Cory Caldwell located?

Cory Caldwell practices at 400 Virginia Ave Ste 201, North Bend, OR 97459. The listed phone number is (541) 751-0357.

What is Cory Caldwell'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 Cory Caldwell was last updated on July 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.