Individual
MARTHA CECILIA REYNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
450 TATONE ST, BOARDMAN, OR 97818-8076
(541) 481-7212
Mailing address
PO BOX 397, BOARDMAN, OR 97818-0397
(541) 481-7212
(541) 481-5447
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
10035020
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500865454
—
OR
Enumeration date
09/29/2025
Last updated
07/29/2026
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