Individual
MARIO J REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10690 NE CORNELL RD STE 220, HILLSBORO, OR 97124-9224
(503) 848-5861
Mailing address
7320 SW HUNZIKER RD STE 300, TIGARD, OR 97223-2302
(503) 941-3077
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
246RP1900X
—
OR
Enumeration date
07/16/2022
Last updated
07/16/2022
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