Individual
PERRY WILLIAM REDING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MD
Contact information
Practice address
1917 NE 7TH CIR, CAMAS, WA 98607-9815
(360) 210-5748
Mailing address
1917 NE 7TH CIR, CAMAS, WA 98607-9815
(360) 210-5748
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
95-130
NM
207P00000X
Emergency Medicine Physician
Primary
G5520MD
TX
207P00000X
Emergency Medicine Physician
MD00048129
WA
207Q00000X
Family Medicine Physician
G5520
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
137290608
—
TX
05
—
137290609
—
TX
05
—
34668
—
NM
01
—
G5520MD
MEDICAL LICENSE NUMBER
TX
05
—
V9105
—
NM
Enumeration date
07/15/2005
Last updated
12/06/2011
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