Individual
CODY RASMUSSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
636 CALIFORNIA WAY, LONGVIEW, WA 98632-1651
(541) 497-4079
Mailing address
636 CALIFORNIA WAY, LONGVIEW, WA 98632-1651
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
04/28/2021
Last updated
04/28/2021
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