Lommen, Cody

Lommen, Cody is an individual health care provider with primary practice located at 5955 Shoreview Ln N Ste. 100, Keizer OR 97303-3981. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Lommen, Cody can be contacted via phone (503) 463-4221.

Contact Information

Primary practice address
5955 Shoreview Ln N Ste. 100 Keizer OR 97303-3981
Phone: (503) 463-4221
Fax: (503) 463-4522
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 6845 Oregon

Profile Details

NPI number 1134484603
LBN Legal business name Lommen, Cody
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2012
Last updated Nov 9th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134484603 NPPES
Washington MEDICAID 500647601

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