Cody Lommen, PT

NPI #1134484603 in Keizer, Oregon

Provider Information

NPI Number: 1134484603
Entity Type: Individual
Name: Cody Lommen, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Jul 10, 2012
Last Updated: Nov 9, 2012

Practice Location

Address: 5955 SHOREVIEW LN N
Address 2: STE. 100
City: Keizer
State: Oregon
ZIP Code: 97303-3981
Phone: (503) 463-4221

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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