Individual
CODY MEYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9205 SW BARNES RD, PORTLAND, OR 97225-6603
(503) 216-1234
Mailing address
3218 OREGON AVE, SAINT LOUIS, MO 63118-3004
(618) 401-2949
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
10033138
OR
Other
Enumeration date
03/27/2025
Last updated
04/04/2025
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