Individual
CODY MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPO
Contact information
Practice address
7308 BRIDGEPORT WAY W STE 204, LAKEWOOD, WA 98499-8000
(253) 588-4749
Mailing address
7308 BRIDGEPORT WAY W STE 204, LAKEWOOD, WA 98499-8000
(253) 588-4749
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
OI60374061
WA
224P00000X
Prosthetist
Primary
PS60374073
WA
Other
Enumeration date
08/05/2013
Last updated
08/05/2013
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