Individual
MR. DONALD KIRK REORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
635 N. 5TH ST, JACKSONVILLE, OR 97530
(541) 899-8179
(541) 899-0244
Mailing address
635 N. 5TH ST, JACKSONVILLE, OR 97530
(541) 899-8179
(541) 899-0244
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
02649
OR
225100000X
Physical Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
158389
—
OR
Enumeration date
08/16/2005
Last updated
03/10/2020
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