Individual
MR. CODY A HUNTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
18322 E ALSEA HWY, TIDEWATER, OR 97390-9641
(541) 844-4961
Mailing address
PO BOX 2083, CORVALLIS, OR 97339-2083
(541) 844-4961
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
05/15/2019
Last updated
06/11/2019
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