Individual
SYDNEY ANN REA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
9450 SW BARNES RD STE 100, PORTLAND, OR 97225-6642
(503) 292-9560
Mailing address
9450 SW BARNES RD STE 100, PORTLAND, OR 97225-6642
(502) 292-9560
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
201810669NP-PP
OR
Other
Enumeration date
06/06/2019
Last updated
06/06/2019
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