Individual
ARIEL REITER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
689 NW BURNSIDE RD, GRESHAM, OR 97030-3739
(503) 382-8100
Mailing address
689 NW BURNSIDE RD, GRESHAM, OR 97030-3739
(503) 382-8100
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
62672
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
900825370
ALL PRIVATE INSURERS & INLCLUDING MEDICARE
OR
Enumeration date
05/14/2018
Last updated
05/14/2018
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