Individual
JENNIFER ANN REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-8211
Mailing address
PO BOX 5073, SPANAWAY, WA 98387-4070
(253) 306-1877
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
NA
WA
Other
Enumeration date
06/06/2017
Last updated
06/06/2017
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