CODY CLARK

CORVALLIS, OR
NPI1639371461
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
Enumeration Date2007-06-04
Last Update Date2007-07-08
Business Address
-- CODY CLARK
4455 NE HIGHWAY 20
CORVALLIS, OR 97330-9695
Phone number: 541-758-5900
Mailing Address
-- CODY CLARK
475 SE PARK AVE
CORVALLIS, OR 97333
Phone number: