Individual
DIANE REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
627 NE EVANS ST, MCMINNVILLE, OR 97128-3923
(503) 434-7527
Mailing address
627 NE EVANS ST, MCMINNVILLE, OR 97128-3923
(503) 434-7527
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/01/2014
Last updated
07/01/2014
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