# DEEP CREEK FAMILY MEDICINE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255949434
- **Authorized official:** DR. JOSHUA J. REESE MD (OWNER/PHYSICIAN)
- **Authorized official phone:** (971) 313-2317

## Contact information

- **Practice address:** 39084 PROCTOR BLVD STE A, SANDY, OR 97055-8064
- **Practice address phone:** (971) 313-2317
- **Mailing address:** 39084 PROCTOR BLVD STE A, SANDY, OR 97055-8064
- **Mailing address phone:** (971) 313-2317

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/14/2020
- **Last updated:** 09/08/2020