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Individual

SUSAN REEDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
10535 NE GLISAN ST STE 350, PORTLAND, OR 97220-4076
(503) 408-1323
Mailing address
10218 NE 74TH ST, VANCOUVER, WA 98662-3870

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
022512
OR

Other

Enumeration date
07/10/2007
Last updated
07/10/2007
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