Individual
MR. CLEON NATHANIEL DODGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3600 NW SAMARITAN DR, CORVALLIS, OR 97330-3737
(541) 768-4906
Mailing address
3600 NW SAMARITAN DR, CORVALLIS, OR 97330-3737
(541) 768-4906
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
PG182623
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
03/12/2015
Last updated
05/09/2017
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