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Individual

CODY LOVANPHETH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
7828 SE ASPEN SUMMIT DR APT 70, PORTLAND, OR 97266-6100
(510) 660-7481
Mailing address
7828 SE ASPEN SUMMIT DR APT 70, PORTLAND, OR 97266-6100

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
OR

Other

Enumeration date
01/14/2026
Last updated
01/14/2026
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