Individual
REYNOLD HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-5300
(503) 494-6519
Mailing address
3181 SW SAM JACKSON PARK RD # L611, PORTLAND, OR 97239-3011
(323) 442-9064
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
35761
NE
208600000X
Surgery Physician
35761
NE
208600000X
Surgery Physician
A146985
CA
208600000X
Surgery Physician
MD210677
OR
2086S0102X
Surgical Critical Care Physician
35761
NE
2086S0102X
Surgical Critical Care Physician
A146985
CA
2086S0102X
Surgical Critical Care Physician
MD210677
OR
2086S0127X
Trauma Surgery Physician
Primary
35761
NE
2086S0127X
Trauma Surgery Physician
A146985
CA
2086S0127X
Trauma Surgery Physician
MD210677
OR
Other
Enumeration date
05/18/2017
Last updated
05/05/2025
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