Individual
REID FLETCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2525 NE 139TH ST STE 260, VANCOUVER, WA 98686-2719
(360) 882-2778
(360) 604-1755
Mailing address
PO BOX 4825, PORTLAND, OR 97208-4825
(360) 882-2778
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
125064540
OR
208600000X
Surgery Physician
Primary
MD61059349
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2161091
—
WA
Enumeration date
06/09/2014
Last updated
10/14/2020
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