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1245745330
TIMOTHY WOODRUM
SALEM, OR
NPI
1245745330
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2017-12-11
Last Update Date
2020-12-15
Business Address
TIMOTHY WOODRUM
2045 SILVERTON RD NE STE B
SALEM, OR 97301-0100
Phone number: 503-763-5739
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Mailing Address
TIMOTHY WOODRUM
888 FAIRVIEW AVE SE APT 33
SALEM, OR 97302-3183
Phone number: 310-903-2162
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