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Individual

JAMES REUTHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
9205 SW BARNES RD, PORTLAND, OR 97225-6603
(503) 216-2361
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD150753
OR
2084P0800X
Psychiatry Physician
MD42671
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
247678
OR
05
500635046
OR
05
8373961
WA
01
838243001
BLUE CROSS
OR
Enumeration date
01/25/2006
Last updated
06/15/2015
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