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1134484603
CODY LOMMEN
KEIZER, OR
NPI
1134484603
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: OR 6845)
Enumeration Date
2012-07-10
Last Update Date
2012-11-09
Business Address
-- CODY LOMMEN PT
5955 SHOREVIEW LN N STE. 100
KEIZER, OR 97303-3981
Phone number: 503-463-4221
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Mailing Address
-- CODY LOMMEN PT
16083 SW UPPER BOONES FERRY RD STE. 300
TIGARD, OR 97224-7736
Phone number: 800-219-8835
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