Organization
PHYSICIAN DIRECTED SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL REYNOLDS (PRESIDENT)
(971) 218-9062
Entity
Organization
Contact information
Practice address
3030 SW 10TH AVE APT 20, PORTLAND, OR 97239-3085
(971) 218-9062
Mailing address
3030 SW 10TH AVE APT 20, PORTLAND, OR 97239-3085
(971) 218-9062
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
03/28/2011
Last updated
03/28/2011
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