Individual
MR. JAMES REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ACNP
Contact information
Practice address
415 LANTHORN LN, GEARHART, OR 97138-7058
(541) 961-8384
Mailing address
415 LANTHORN LN, GEARHART, OR 97138-7058
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
201506925NP-PP
OR
Other
Enumeration date
09/16/2015
Last updated
09/16/2015
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