Individual
DAN P. CODIGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2445 SE HAWTHORNE BLVD, PORTLAND, OR 97214-3924
(503) 232-6863
Mailing address
707 NE COUCH ST, PORTLAND, OR 97232-2922
(503) 542-4603
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
OR
Other
Enumeration date
05/21/2018
Last updated
05/21/2018
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