Individual
DR. RODNEY JAY REID
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD PHD
Contact information
Practice address
9450 SW BARNES RD, STE 200, PORTLAND, OR 97225-6619
(503) 216-2025
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
A103943
CA
2084P0800X
Psychiatry Physician
Primary
MD29399
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500631447
—
OR
05
—
500697516
—
OR
Enumeration date
07/02/2008
Last updated
03/24/2021
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