NPI 1871179689

Cody Whittaker

Practitioner Contractor Clackamas, OR

Practice location

Address: 9353 SE Alansa Dr STE C, Clackamas, OR 97015-8579
Phone: (503) 867-2253

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X

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Registry record

NPI: 1871179689
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Mar 2021
Record last updated: 22 Mar 2021

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.