Individual
DR. GREGG REITER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
5050 NE HOYT ST, STE 422, PORTLAND, OR 97213-2991
(503) 236-4343
(503) 234-0271
Mailing address
3439 NE SANDY BLVD, PMB 375, PORTLAND, OR 97232-1959
(503) 284-8841
(503) 282-3302
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
298
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
165571
—
OR
Enumeration date
12/01/2005
Last updated
10/11/2007
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