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1982817615
JERRY WOODARDS
PORTLAND, OR
NPI
1982817615
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OR L6264)
Enumeration Date
2007-05-08
Last Update Date
2024-12-13
Business Address
JERRY WOODARDS MSW
2100 NE BROADWAY ST STE 335
PORTLAND, OR 97232-1570
Phone number: 360-977-4133
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Mailing Address
JERRY WOODARDS MSW
10700 NE 65TH ST
VANCOUVER, WA 98662-5388
Phone number: 360-977-4133
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