Individual
REID VANCE MUELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-6687
Mailing address
2725 NE THOMPSON ST., PORTLAND, OR 97212
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
MD20564
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
150505
—
OR
Enumeration date
08/03/2006
Last updated
07/08/2007
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