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Individual

BRET KIRK REORDAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.P.T.

Contact information

Practice address
635 N. 5TH ST., JACKSONVILLE, OR 97530
(541) 899-8179
(541) 899-0244
Mailing address
635 N. 5TH ST., JACKSONVILLE, OR 97530
(541) 899-8179
(541) 899-0244

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
61643
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500708227
OR
Enumeration date
05/12/2016
Last updated
03/09/2020
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