Individual
DR. JASMAR REDDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
11731 NE GLISAN, PORTLAND, OR 97220-2141
(503) 238-1601
(503) 238-1078
Mailing address
11731 NE GLISAN, PORTLAND, OR 97220-2141
(503) 238-1601
(503) 238-1078
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
272239
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1427234509
GROUP NPI
OR
01
—
350055506
RAILROAD MEDICARE
—
Enumeration date
05/10/2006
Last updated
07/16/2010
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