Organization
REED DERMATOLOGY NORTHWEST LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA HOOD (MANAGER)
(503) 542-0805
Entity
Organization
Contact information
Practice address
13305 NW CORNELL RD STE C, PORTLAND, OR 97229-5987
(503) 765-5000
(866) 742-0249
Mailing address
13305 NW CORNELL RD STE C, PORTLAND, OR 97229-5987
(503) 765-5000
(866) 742-0249
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD153328
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500678676
—
OR
Enumeration date
09/30/2014
Last updated
10/01/2020
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