Individual
REED CASEY JANKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2280 MARCOLA RD, SPRINGFIELD, OR 97477-2594
(541) 747-4300
Mailing address
2280 MARCOLA RD, SPRINGFIELD, OR 97477-2594
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
196432
OR
Other
Enumeration date
12/04/2019
Last updated
12/04/2019
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