Individual
CODY MYERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1122 NW EVERETT ST, PORTLAND, OR 97209-2915
(888) 663-6331
(415) 252-7176
Mailing address
5329 NE MARTIN LUTHER KING JR BLVD, PORTLAND, OR 97211-3237
(503) 988-5558
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA201290
OR
Other
Enumeration date
06/15/2020
Last updated
01/07/2026
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