Individual
NATASHA REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3801 E AQUARIUS BLVD, NEWBERG, OR 97132-1513
(503) 265-9177
Mailing address
3801 E AQUARIUS BLVD, NEWBERG, OR 97132-1513
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
201130007
OR
164W00000X
Licensed Practical Nurse
Primary
201130007LPN
OR
Other
Enumeration date
07/25/2024
Last updated
07/25/2024
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