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1194390112
CODY ROBERTS
OREGON CITY, OR
NPI
1194390112
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR T-21-733)
Enumeration Date
2021-05-21
Last Update Date
2021-05-21
Business Address
CODY ROBERTS
900 MAIN ST STE 200
OREGON CITY, OR 97045-1869
Phone number: 503-465-2749
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Mailing Address
CODY ROBERTS
PO BOX 16576
PORTLAND, OR 97292-0576
Phone number:
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