Individual
KATHERINE REIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
12525 SE CREST WAY, HAPPY VALLEY, OR 97086
(503) 683-3627
(402) 695-4629
Mailing address
12042 SE SUNNYSIDE RD # 511, CLACKAMAS, OR 97015-8382
(503) 683-3627
(402) 695-4629
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
201700405NP-PP
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
TBD
VT
Other
Enumeration date
07/23/2012
Last updated
01/16/2024
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