CODY MASK

Community Health Worker

Active Individual
NPI: 1083044473

Practice Address

4890 32ND AVE SE
Salem, OR 97317

Phone: (503) 588-5647

Specialties

Specialty Code Primary License
Community Health Worker 172V00000X Yes -

Frequently Asked Questions

NPI 1083044473 is the National Provider Identifier for CODY MASK, a Community Health Worker provider located in Salem, OR. This NPI was enumerated on November 21, 2013.
CODY MASK practices at 4890 32ND AVE SE, Salem, OR 97317.

Quick Facts

NPI
1083044473
Type
Individual
Enumerated
Nov 21, 2013
Last Updated
Nov 21, 2013

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