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Individual

DR. JOAN LESLIE REEDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
5120 NE 37TH AVE, PORTLAND, OR 97211-8076
(503) 270-9174
Mailing address
5120 NE 37TH AVE, PORTLAND, OR 97211-8076
(503) 270-9174

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD22193
OR
208M00000X
Hospitalist Physician
Primary
MD22193
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
181945
OR
Enumeration date
01/17/2007
Last updated
05/18/2021
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