CODY JACKSON

BEAVERTON, OR
NPI1538739735
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: OR  D11459)
Enumeration Date2021-06-29
Last Update Date2021-06-29
Business Address
DR. CODY JACKSON DMD
8660 SW SCHOLLS FERRY RD
BEAVERTON, OR 97008-6621
Phone number: 503-616-9177
Mailing Address
DR. CODY JACKSON DMD
2285 PERKINS ST NE
KEIZER, OR 97303-9600
Phone number: 503-884-6350
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