Roger Reynolds D.O.

NPI 1689682254 - Family Medicine - 207Q00000X

NPI Details
NPI 1689682254
Gender Male
Enumeration Date 08/03/2006
Last Updated 01/10/2013
Entity Type Individual
Active Over 10 years ago
Practice Location
1825 MAPLE ST
FOREST GROVE OR, 97116-1939, US
Phone (503) 357-2136
Fax
Business Location
1825 MAPLE ST
FOREST GROVE OR, 97116-1939, US
Phone
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State Oregon
License Number DO18450
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According to our database, Roger Reynolds D.O. NPI is 1689682254, taxonomy code is 207Q00000X and license number is DO18450, license state is located at Oregon. Roger Reynolds D.O. physically located at 1825 Maple St, Forest Grove OR, 97116-1939. NPI Number Roger Reynolds D.O. has the Individual type.

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1689682254 NPI number is provided on an as is basis without warranty of any kind. 1689682254 is maintained by the National Plan & Provider Enumeration System. The contents of Roger Reynolds D.O. are for informational purposes only.