Individual
JOHN WESLEY REILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
12636 SE STARK, PORTLAND, OR 97233
(503) 253-4600
(503) 253-4609
Mailing address
PO BOX 82819, PORTLAND, OR 97282
(503) 233-5405
(503) 233-2696
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1173
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
068WDBBQK
NUMBER PERSONAL MEDICARE
OR
05
—
164936
—
OR
Enumeration date
10/25/2006
Last updated
07/08/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us