Individual
JOSHUA CHARLES REEVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
33 NW BROADWAY, PORTLAND, OR 97209-3580
(503) 228-7419
(503) 501-5679
Mailing address
232 NW 6TH AVE, ATTN: CREDENTIALING, PORTLAND, OR 97209
(503) 294-1681
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
201806656RN
OR
Other
Enumeration date
06/12/2019
Last updated
06/12/2019
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