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Individual

KEITH CHET CODDINGTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
235 ROGUE RIVER DR, EAGLE POINT, OR 97524-9796
(541) 301-3639
Mailing address
235 ROGUE RIVER DR, EAGLE POINT, OR 97524-9796

Taxonomy

Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
200941538RN
OR

Other

Enumeration date
10/30/2025
Last updated
10/30/2025
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