Individual
CODY SOLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
17710 NE HALSEY ST, PORTLAND, OR 97230-6734
(503) 328-8311
(503) 328-8499
Mailing address
3587 HEATHROW WAY, MEDFORD, OR 97504-4004
(541) 858-8170
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/02/2018
Last updated
08/01/2018
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