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General NPI Number Information
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NPI Number | 1508385931
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Entity Type | Individual
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Provider Name | JAMES ALVIE WOODS CADC 2
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Gender | Male
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Dates
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Enumeration Date | 09/18/2017
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Last Update Date | 06/26/2025
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Provider Practice Location Address
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Address Line | 960 LIBERTY ST SE STE 120
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City | SALEM
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State | OR
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Zip | 97302-4165
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Country | US
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Telephone | 503-588-2804
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Fax |
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Provider Business Mailing Address
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Address Line | 690 CEDAR ST UNIT B
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City | JUNCTION CITY
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State | OR
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Zip | 97448-1881
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Country | US
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Telephone | 503-383-2649
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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