Cody Clark

Social Worker · Corvallis, OR

Individual Active NPI

NPI number 1639371461

Practice location

4455 NE Highway 20
Corvallis, OR 97330-9695
Phone
(541) 758-5900

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NPI record

NPI
1639371461
Entity type
Individual (Type 1)
Enumeration date
June 4, 2007
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Social Worker Primary 104100000X — —

Mailing address

475 SE Park Ave
Corvallis, OR 97333

About Cody Clark

Cody Clark is a healthcare provider registered in the NPI registry with the primary taxonomy Social Worker (code 104100000X). The practice location is 4455 NE Highway 20, Corvallis, OR 97330-9695. The NPI number 1639371461 was assigned on June 4, 2007 and the record was last updated on July 8, 2007.

Frequently asked questions

What is the NPI number of Cody Clark?

The NPI number is 1639371461.

What is the phone number of Cody Clark?

The phone number listed for the practice location is (541) 758-5900.

Where is Cody Clark located?

4455 NE Highway 20, Corvallis, OR 97330-9695.

What is the taxonomy code for Cody Clark?

The primary taxonomy code is 104100000X – Social Worker.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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