Provider Demographics
NPI:1730074329
Name:WOODEN, KATHLEEN ELIZABETH (CRM II, CADC-R)
Entity type:Individual
Prefix:
First Name:KATHLEEN
Middle Name:ELIZABETH
Last Name:WOODEN
Suffix:
Gender:F
Credentials:CRM II, CADC-R
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:521 LITTLEWOOD LN
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97404-2218
Mailing Address - Country:US
Mailing Address - Phone:458-317-7975
Mailing Address - Fax:
Practice Address - Street 1:146 E 12TH AVE
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401-3513
Practice Address - Country:US
Practice Address - Phone:458-240-5993
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-12
Last Update Date:2025-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist