Individual
HARRY L REAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9155 SW BARNES RD, STE 317, PORTLAND, OR 97225-6625
(503) 216-1150
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6644
(503) 215-6494
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MD152829
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500627101
—
OR
01
—
P01252771
RR MEDICARE (PH&S)
OR
Enumeration date
10/13/2006
Last updated
05/20/2016
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