MEDICARE: DR. LLOYD CHARLES REITER N.D. , D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	X0043841	NY

General Provider Information

NPI Number	:	1952476590
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LLOYD CHARLES REITER N.D. , D.C.

Provider Business Mailing Address
First Line	:	4835 SE PALADIN LN
Second Line	:
City	:	HILLSBORO
State	:	OR
Zip	:	97123-7545
Country	:	US
Telephone Number	:	516-650-8019
Fax Number	:

Provider Business Practice Location Address
First Line	:	522 NW 12TH AVE
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97209-3001
Country	:	US
Telephone Number	:	503-227-2886
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/21/2006
Last Update Date	:	12/20/2018

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Directions to “ DR. LLOYD CHARLES REITER N.D. , D.C.” Practice Location

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