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NPI Code Detail

MEDICARE: SHARRA MICHELLE REYNOLDS

MEDICARE: SHARRA MICHELLE REYNOLDS
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
1106S00000XBehavior Technician26-513481WA

General Provider Information

NPI Number : 1003420878
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHARRA MICHELLE REYNOLDS
Provider Business Mailing Address
First Line : 118 E 8TH ST
Second Line :
City : PORT ANGELES
State : WA
Zip : 98362-6129
Country : US
Telephone Number : 360-457-0431
Fax Number : 360-457-0493
Provider Business Practice Location Address
First Line : 118 E 8TH ST
Second Line :
City : PORT ANGELES
State : WA
Zip : 98362-6129
Country : US
Telephone Number : 360-457-0431
Fax Number : 360-457-0493
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2020
Last Update Date : 04/20/2026

Similar Medicare Providers

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Practice Location Address:
118 E 8TH ST
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1245172717 — JORDAN BOSTON
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1740122233 — HALEY TUCKER
Practice Location Address:
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PORT ANGELES, WA
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1154992782 — SHANON ANN SNOW
Practice Location Address:
118 E 8TH ST
PORT ANGELES, WA
98362-6129
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Practice Fax: 360-457-0493
1942270459 — JENNIFER RUTH TREFONAS LMHC
Practice Location Address:
118 E 8TH ST
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98362-6129
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Practice Fax: 360-457-0493

Directions to “ SHARRA MICHELLE REYNOLDS ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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