Individual
REBECCA ANNE REISCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2250 NW FLANDERS ST, SUITE GARDEN 01, PORTLAND, OR 97210-3443
(503) 224-1947
(503) 274-9530
Mailing address
3121 N WILLAMETTE BLVD, PORTLAND, OR 97217-4058
(503) 285-0314
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4220
OR
Other
Enumeration date
08/19/2006
Last updated
07/08/2007
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