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General NPI Number Information
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NPI Number | 1598007437
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Entity Type | Individual
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Provider Name | GUDRUN REED M.D.
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Gender | Female
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Dates
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Enumeration Date | 03/18/2013
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Last Update Date | 04/07/2025
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Provider Practice Location Address
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Address Line | PO BOX 2742
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City | BROOKINGS
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State | OR
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Zip | 97415-0326
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Country | US
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Telephone | 541-412-9800
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Fax |
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Provider Business Mailing Address
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Address Line | 680 SAND HILL RD
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City | CRESCENT CITY
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State | CA
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Zip | 95531-8842
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Country | US
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Telephone | 305-300-1934
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Fax | 469-282-2609
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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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 | MD215496
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License Number State | OR
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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 | 303243
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License Number State | LA
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Taxonomy #4
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | A171172
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License Number State | CA
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