Individual
CODY HATFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
470 NE STEPHENS ST STE 102, ROSEBURG, OR 97470-3158
(541) 673-5770
Mailing address
470 NE STEPHENS ST STE 102, ROSEBURG, OR 97470-3158
(541) 673-5770
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
62707
OR
Other
Enumeration date
08/15/2018
Last updated
08/15/2018
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