Individual
JOHN ROGER REICHLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1815 SW MARLOW AVE, SUITE 110, PORTLAND, OR 97225-5185
(503) 292-0765
(503) 292-5208
Mailing address
1815 SW MARLOW AVE, SUITE 110, PORTLAND, OR 97225-5185
(503) 292-0765
(503) 292-5208
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
MD18452
OR
Other
Enumeration date
09/11/2006
Last updated
02/10/2022
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