Individual
LEAH REZNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3375 SW TERWILLIGER BLVD, MAILCODE: CEI, PORTLAND, OR 97239-4146
(503) 494-3000
(503) 494-4286
Mailing address
3375 SW TERWILLIGER BLVD, MAILCODE: CEI, PORTLAND, OR 97239-4146
(503) 494-3000
(503) 494-4286
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
MD00048164
WA
207W00000X
Ophthalmology Physician
MD27708
OR
207WX0110X
Pediatric Ophthalmology and Strabismus Specialist Physician
MD00048164
WA
207WX0110X
Pediatric Ophthalmology and Strabismus Specialist Physician
Primary
MD27708
OR
Other
Enumeration date
06/18/2006
Last updated
02/21/2018
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