Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Cody Crockett

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1306523840

Cody Crockett is a Student in an Organized Health Care Education/Training Program in Portland, Oregon. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

3455 SW US Veterans Hospital Rd
Portland, OR 97239-3076
Phone: (503) 494-7725
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1306523840
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 28, 2023
Last updated in NPPESJune 28, 2023
Certification dateJune 27, 2023
Mailing address2036 Se Ash St Apt A, Portland, OR 97214-1671

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