Individual
CODY JOHN PAIVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
5050 NE HOYT ST STE 540, PORTLAND, OR 97213-2985
(503) 215-6600
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
DO211735
OR
390200000X
Student in an Organized Health Care Education/Training Program
PG198807
OR
Other
Enumeration date
06/15/2020
Last updated
06/22/2023
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