Individual
JORDAN REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1270 KOT NUM RD, WARM SPRINGS, OR 97761-1209
(541) 553-1196
Mailing address
28475 MCPHERSON RD UNIT 10, GRAND RONDE, OR 97347-9717
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0020594
OR
Other
Enumeration date
08/14/2025
Last updated
08/14/2025
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