Individual
JODY WAYNE MCLOUD II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
627 NE EVANS ST, MCMINNVILLE, OR 97128-3923
(503) 434-7523
(503) 434-9846
Mailing address
627 NE EVANS ST, MCMINNVILLE, OR 97128-3923
(503) 434-7523
(503) 434-9846
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
04/30/2024
Last updated
04/30/2024
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