Individual
SHARON ELIZABETH REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MN, FNP
Contact information
Practice address
2999 NE 181ST AVE, PORTLAND, OR 97230-6923
(503) 401-5201
(503) 401-3322
Mailing address
2999 NE 181ST AVE, PORTLAND, OR 97230-6923
(503) 401-5201
(503) 401-3322
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
201240347RN
OR
163W00000X
Registered Nurse
RN00068423
WA
363LF0000X
Family Nurse Practitioner
Primary
201250019NP
OR
363LF0000X
Family Nurse Practitioner
AP30003947
WA
Other
Enumeration date
05/01/2006
Last updated
09/12/2013
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