Individual
CLAIRE MARGARET REILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2185 SE 12TH PL, WARRENTON, OR 97146-9311
(503) 861-6240
(253) 968-3278
Mailing address
2185 SE 12TH PL, WARRENTON, OR 97146-9397
(503) 861-6240
(503) 861-6358
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
2020011504
MO
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
Primary
60392744
WA
Other
Enumeration date
01/13/2009
Last updated
09/21/2020
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