Individual
KELLY REED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
10215 SW PARKWAY, STE D, PORTLAND, OR 97225-5036
(503) 292-3583
(503) 292-1022
Mailing address
16083 SW UPPER BOONES FERRY RD, STE 300, PORTLAND, OR 97224-7736
(800) 219-8835
(503) 639-9699
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1343
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
202127
—
OR
Enumeration date
12/05/2005
Last updated
02/27/2018
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