Healthcare Provider Details

I. General information

NPI: 1861818346
Provider Name (Legal Business Name): COURTNEY WOODWARD LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/08/2014
Last Update Date: 08/20/2024
Certification Date: 08/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1022 GREEN ACRES RD
EUGENE OR
97408-6501
US

IV. Provider business mailing address

575 MURIN ST
EUGENE OR
97402-1505
US

V. Phone/Fax

Practice location:
  • Phone: 541-682-7206
  • Fax:
Mailing address:
  • Phone: 971-219-9251
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberC3277
License Number StateOR

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: