Individual
CODY KIRKENDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4560 SE INTERNATIONAL WAY STE 100, MILWAUKIE, OR 97222-4628
(206) 407-1700
Mailing address
PO BOX 282, PACIFIC CITY, OR 97135-0282
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
07/19/2023
Last updated
05/23/2024
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