location
search-icon
person
Mr. Cody Merril Bywaters, LICENSEDDENTURIST
Denturist in Lake Oswego, Oregon
NPI 1407100233

Cody Merril Bywaters is a Denturist based in Lake Oswego, OR. Cody Merril Bywaters practices in Lake Oswego, OR and has the professional credentials of LICENSEDDENTURIST. The NPI Number for Cody Merril Bywaters is 1407100233 and holds a License No. DTDO10126042 (Oregon).

The current practice location address for Cody Merril Bywaters is 3900 Douglas Way, Lake Oswego, OR and can be reached out via phone at 503-635-8060 and via fax at 503-305-8679.

Location: 3900 Douglas Way, Lake Oswego, OR, 97035-3446
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1407100233
Provider Name
Cody Merril Bywaters
Credential
LICENSEDDENTURIST
Provider Entity Type
Individual
Gender
Male
Address
3900 Douglas Way, Lake Oswego, OR, 97035-3446
Phone Number
503-635-8060
Fax Number
503-305-8679
Provider Enumeration Date
10/31/2012
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
DTDO 10126042 01 OR DENTURIST HEALTH LICENSE STATE OF OREGON
institution
Provider Business Practice Location Address Details
Address
3900 Douglas Way
City
Lake Oswego
State
Oregon
Zip
97035-3446
Phone Number
503-635-8060
Fax Number
503-305-8679
person
Provider Business Mailing Address Details
Address
3900 Douglas Way
City
Lake Oswego
State
Oregon
Zip
97035-3446
Phone Number
503-635-8060
Fax Number
503-305-8679
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Denturist
Speciality
-
Taxonomy
122400000X
License No.
DTDO10126042 (Oregon)
Definition
Definition to come.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.