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. You can also correspond with Cody Merril Bywaters through the mailing address at 3900 DOUGLAS WAY, LAKE OSWEGO, OR - 97035-3446 (mailing address contact number: 503-635-8060).

Location: 3900 Douglas Way, Lake Oswego, OR, 97035-3446
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
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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
State
Zip
97035-3446
Phone Number
503-635-8060
Fax Number
503-305-8679
person
Provider Business Mailing Address Details
Address
3900 Douglas Way
City
State
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
License No.
DTDO10126042 (Oregon)
Definition
Definition to come.
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