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Individual

DR. SUSAN L REESE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2501 NW 229TH AVE, HILLSBORO, OR 97124-5506
(210) 396-3545
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-8738

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
01063152A
IN
207Q00000X
Family Medicine Physician
M-12958
ID
207Q00000X
Family Medicine Physician
Primary
MD163031
OR

Other

Enumeration date
05/31/2006
Last updated
09/30/2015
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