Individual
VIVIAN R REUDINK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
24800 SE STARK ST, GRESHAM, OR 97030-3378
(360) 624-4027
Mailing address
13023 NE HIGHWAY 99, SUITE 7-414, VANCOUVER, WA 98686-2767
(360) 624-4027
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
200540490RN
OR
Other
Enumeration date
02/01/2014
Last updated
04/27/2015
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