Individual
JOSEPH CODY BRAINARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
4416 NE SIMPSON ST, PORTLAND, OR 97218-1446
(503) 449-3763
Mailing address
4416 NE SIMPSON ST, PORTLAND, OR 97218-1446
(503) 449-3763
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
299811
CA
225100000X
Physical Therapist
—
—
Other
Enumeration date
11/05/2020
Last updated
11/08/2023
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