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Individual

DR. KELLEY RENEE REIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
N.D.

Contact information

Practice address
172 SE 6TH AVE, HILLSBORO, OR 97123-4129
(503) 693-0904
(503) 693-0994
Mailing address
172 SE 6TH AVE, HILLSBORO, OR 97123-4129
(503) 693-0904
(503) 693-0994

Taxonomy

Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
1388
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
022973
OR
Enumeration date
09/27/2006
Last updated
07/09/2007
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