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Individual

DR. REYNOLD G ORCHARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1718 E KESSLER BLVD, LONGVIEW, WA 98632-1842
(360) 747-5800
(360) 575-3846
Mailing address
1776 SW MADISON ST, PORTLAND, OR 97205-1715
(503) 224-1044
(503) 621-2235

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MD00038466
WA
207Q00000X
Family Medicine Physician
Primary
MD22249
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
276324
OR
01
P00893295
RR MEDICARE
OR
Enumeration date
10/23/2006
Last updated
06/29/2021
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