Individual
MICAH LUNA REITER
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
3425 SW US VETERANS HOSPITAL RD, PORTLAND, OR 97239-2941
(503) 459-9808
Mailing address
3425 SW US VETERANS HOSPITAL RD, PORTLAND, OR 97239-2941
(503) 459-9808
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
10033619
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/30/2024
Last updated
10/05/2024
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