Individual
LINDSEY KINNA REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1990 SE LADD AVE, PORTLAND, OR 97214-4757
(503) 820-8040
Mailing address
7616 SE YAMHILL ST, PORTLAND, OR 97215-3062
(231) 675-9104
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
22757
OR
Other
Enumeration date
12/15/2016
Last updated
12/15/2016
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