Individual
MR. JERRY L REAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMP
Contact information
Practice address
1307B NE 78TH ST., SUITE 3, VANCOUVER, WA 98665
(360) 573-1933
(360) 571-0143
Mailing address
1307B NE 78TH ST., SUITE 3, VANCOUVER, WA 98665
(136) 057-3193
(136) 057-1014
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
MA00020315
WA
Other
Enumeration date
11/02/2006
Last updated
07/08/2007
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