Individual
JENNIFER L REEVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4400 NE HALSEY ST BLDG 1 STE 160, PORTLAND, OR 97213
(503) 867-6402
Mailing address
6410 NE HALSEY ST, PORTLAND, OR 97213-4742
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
NC10045993
WA
Other
Enumeration date
07/12/2024
Last updated
07/12/2024
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