CODY CHLASTA

PORTLAND, OR
NPI1215613351
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2023-06-23
Last Update Date2023-06-23
Business Address
CODY CHLASTA
3455 SW US VETERANS HOSPITAL RD
PORTLAND, OR 97239-3076
Phone number: 503-494-7725
Mailing Address
CODY CHLASTA
7020 N TYLER AVE
PORTLAND, OR 97203-4947
Phone number: 615-406-1646