Individual
CODY L MONAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ASSOCIATES
Contact information
Practice address
711 SW RAMSEY AVE, GRANTS PASS, OR 97527-5500
(541) 479-5901
Mailing address
711 SW RAMSEY AVE, GRANTS PASS, OR 97527-5500
(541) 479-5901
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101Y00000X
—
OR
Enumeration date
08/02/2017
Last updated
07/21/2022
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