IndividualActive
Cody Whittaker
NPI 1871179689 · Contractor · Clackamas, OR
Provider details
- NPI number
- 1871179689
- Entity type
- Individual
- Primary specialty
- ContractorOther Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Practice location
9353 Se Alansa Dr Ste C
Clackamas, OR 97015-8579
Phone: (503) 867-2253
Mailing address
9353 Se Alansa Dr Ste C
Clackamas, OR 97015-8579
Registry dates
- Enumerated
- 2021-03-22
- Last updated
- 2021-03-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.