Individual
ASIA REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
944 W 5TH AVE, EUGENE, OR 97402-5106
(541) 687-2667
(541) 284-2139
Mailing address
944 W 5TH AVE, EUGENE, OR 97402-5106
(541) 687-2667
(541) 284-2139
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
500630114
DMAP
OR
Enumeration date
07/06/2012
Last updated
07/06/2012
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