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

Mr. Cody Haycock, CRM

Individual provider Peer Specialist · NPI 1457215220

Mr. Cody Haycock, CRM is a Peer Specialist in LA Grande, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2025

Practice location Address checks out

107 Island Ave
LA Grande, OR 97850-2940
Phone: (541) 304-3205
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X · Licence 25-CRM-4805 (OR)

Record details

NPI number1457215220
Entity typeIndividual (Type 1)
GenderMale
Credentials CRM
Sole proprietorYes
NPI enumeratedDecember 15, 2025
Last updated in NPPESApril 27, 2026
Certification dateApril 27, 2026

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