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CODY MYERS PA-C

Medical >> Physician Assistant >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1891310801

Individual Registrant:
 CODY  MYERS PA-C
Gender: M
Sole Proprietor

Location and contact information for practice:
531 N HIGHWAY 101 STE A  DEPOE BAY, OR 97341-9572 US
Tel: 541-768-3265  Fax: 541-768-3260

Contact information for business:
PO BOX 2847  CORVALLIS, OR 97339-2847 US
Tel: 206-375-7341  Fax: --

Registration Information:
NPI: 1891310801
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363AM0700XPhysician Assistants & Advanced Practice Nursing Providers
Physician Assistant
Medical
ORPA201290

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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