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General NPI Number Information
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NPI Number | 1467411157
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Entity Type | Individual
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Provider Name | FREDERICK JOSEPH REED M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/21/2006
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Last Update Date | 04/22/2008
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Provider Practice Location Address
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Address Line | 100 3RD STREET SUITE 1
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City | DAVENPORT
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State | WA
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Zip | 99122-9731
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Country | US
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Telephone | 509-725-7501
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Fax | 509-725-7504
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Provider Business Mailing Address
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Address Line | 100 3RD STREET SUITE 1
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City | DAVENPORT
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State | WA
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Zip | 99122-9731
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Country | US
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Telephone | 509-725-7501
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Fax | 509-725-7504
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | M-7556
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License Number State | ID
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD00048996
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 29516
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License Number State | SC
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