Healthcare Provider Details

I. General information

NPI: 1598007437
Provider Name (Legal Business Name): GUDRUN REED M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/18/2013
Last Update Date: 04/07/2025
Certification Date: 04/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 2742
BROOKINGS OR
97415-0326
US

IV. Provider business mailing address

680 SAND HILL RD
CRESCENT CITY CA
95531-8842
US

V. Phone/Fax

Practice location:
  • Phone: 541-412-9800
  • Fax:
Mailing address:
  • Phone: 305-300-1934
  • Fax: 469-282-2609

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD215496
License Number StateOR
# 3
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number303243
License Number StateLA
# 4
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberA171172
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: