Search › Oregon › 175T00000X
Cody Haycock, CRM
NPI 1457215220 · on the registry since 2025 · sole proprietor
Practice
- Address
- 107 Island Ave
La Grande, OR 97850 - Phone
- (541) 304-3205
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 175T00000X
175T00000X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-04-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon