Individual
MRS. REVA S. RICKETTS-LORIAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
13705 NE AIRPORT WAY STE C, PORTLAND, OR 97230-1048
(503) 259-6820
Mailing address
500 NE MULTNOMAH ST, PORTLAND, OR 97232-2099
(503) 258-6820
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
DO26757
OR
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
OP00002314
WA
Other
Enumeration date
02/01/2008
Last updated
06/18/2025
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