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Individual

VICKI LYNNE REID

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
4855 SW WESTERN AVE, BEAVERTON, OR 97005-3460
(503) 520-4863
Mailing address
8717 SW SHAWN PL, PORTLAND, OR 97223-6884
(503) 520-4863

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD20590
OR

Other

Enumeration date
09/24/2006
Last updated
07/08/2007
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