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1215613351
CODY CHLASTA
PORTLAND, OR
NPI
1215613351
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-06-23
Last Update Date
2023-06-23
Business Address
CODY CHLASTA
3455 SW US VETERANS HOSPITAL RD
PORTLAND, OR 97239-3076
Phone number: 503-494-7725
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Mailing Address
CODY CHLASTA
7020 N TYLER AVE
PORTLAND, OR 97203-4947
Phone number: 615-406-1646
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