Individual
PETER REED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7150 SW DARTMOUTH ST, TIGARD, OR 97223-7614
(503) 968-3480
Mailing address
7150 SW DARTMOUTH ST, TIGARD, OR 97223-7614
(503) 968-3480
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD172253
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/21/2012
Last updated
11/28/2018
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