Individual
RANDY L REESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1755 COBURG RD, BLDG. 6B, EUGENE, OR 97401-4982
(541) 255-3905
(541) 255-3959
Mailing address
PO BOX 40386, EUGENE, OR 97404-0060
(541) 255-3905
(541) 255-3959
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD17594
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04485-4
—
OR
Enumeration date
07/14/2006
Last updated
05/18/2015
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