Individual
PATRICIA MADELINE REILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
2801 N GANTENBEIN AVE, PORTLAND, OR 97227-1623
(503) 413-2200
(503) 331-2410
Mailing address
2800 N VANCOUVER AVE, SUITE 201, PORTLAND, OR 97227-1630
(503) 331-2400
(503) 331-2410
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
089006877N2
OR
363LP0200X
Pediatric Nurse Practitioner
AP30002381
WA
Other
Enumeration date
09/20/2006
Last updated
07/12/2007
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