Individual
JAKE AARON REICHARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
500 NE MULTNOMAH ST, PORTLAND, OR 97232-2023
(503) 499-5200
Mailing address
6856 NE SISKIYOU ST, PORTLAND, OR 97213-5262
(512) 940-1978
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
201408770RN
OR
Other
Enumeration date
02/01/2024
Last updated
02/01/2024
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