NPI 1003506429

Cody M Cimmiyotti

Practitioner Peer Specialist Pendleton, OR

Practice location

Address: 46314 Timine Way, Pendleton, OR 97801-9417
Phone: (541) 966-9830
Mailing address: PO Box 160, Pendleton, OR 97801-0160

Registered specialties

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X Licence THW000108876 (OR)

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Registry record

NPI: 1003506429
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 May 2023
Record last updated: 9 May 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.