Cody Manriquez
Physician Assistant in Bend, OR. Individual provider (NPI-1).
NPI number1194357897
StatusActive
Last updated in NPPESApr 2, 2025
Details
- NPI
- 1194357897
- Entity type
- Individual (NPI-1)
- Name
- Cody Manriquez
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 10, 2020
- Certification date
- Apr 2, 2025
- Last updated
- Apr 2, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | – | – | Yes |
Practice location
2200 Ne Neff Rd Ste 200Bend, OR 97701-4281
Phone 541-382-3344 · Fax 541-382-1681
Mailing address
2200 Ne Neff Rd Ste 200Bend, OR 97701-4281
Phone 541-382-3344
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