CODY BLACKWELL

PORTLAND, OR
NPI1073484549
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy175T00000X Peer Specialist
(Licence: OR  114947)
Enumeration Date2025-09-16
Last Update Date2025-09-16
Business Address
-- CODY BLACKWELL
6200 SE KING RD
PORTLAND, OR 97222-2891
Phone number: 503-546-6377
Mailing Address
-- CODY BLACKWELL
6200 SE KING RD
PORTLAND, OR 97222-2891
Phone number: 503-546-6377
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