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Contact Information

CODY WHITTAKER
9353 SE ALANSA DR STE C
CLACKAMAS, OR97015-8579
 Phone: 503-867-2253
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Contractor

171W00000X
Indicates primary specialty

NPI Profile & details for CODY WHITTAKER · (Male)

NPI # 1871179689
Status Active
Credentials
Entity Individual
Enumeration date 03/22/2021
Last updated 03/22/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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