MEDICARE: MR. DONALD KIRK REORDAN PT

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	225100000X	Physical Therapist
2	225100000X	Physical Therapist	02649	OR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1194717165
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. DONALD KIRK REORDAN PT

Provider Business Mailing Address
First Line	:	635 N. 5TH ST
Second Line	:
City	:	JACKSONVILLE
State	:	OR
Zip	:	97530
Country	:	US
Telephone Number	:	541-899-8179
Fax Number	:	541-899-0244

Provider Business Practice Location Address
First Line	:	635 N. 5TH ST
Second Line	:
City	:	JACKSONVILLE
State	:	OR
Zip	:	97530
Country	:	US
Telephone Number	:	541-899-8179
Fax Number	:	541-899-0244

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

Provider Enumeration Date	:	08/16/2005
Last Update Date	:	03/10/2020

Similar Medicare Providers

1407294853 — BABBETTE LEMAR MURPHY NP
Practice Location Address:

620 N 5TH ST
JACKSONVILLE, OR
97530-9659

Practice Phone: 458-220-7597
Practice Fax: 541-291-9819

1770581027 — MRS. WILLIAM R. BRODIE D.M.D.
Practice Location Address:

305 SHAFER LN
JACKSONVILLE, OR
97530-9681

Practice Phone: 541-899-8833
Practice Fax: 541-899-1769

1710979240 — JULIE D. DANIELSON OD
Practice Location Address:

950 N 5TH ST
JACKSONVILLE, OR
97530-9016

Practice Phone: 541-899-2020
Practice Fax: 541-899-1481

1457314916 — JACKSONVILLE PHARMACY, INC.
Practice Location Address:

725 N 5TH ST , STE 100
JACKSONVILLE, OR
97530-9874

Practice Phone: 541-899-7948
Practice Fax: 541-899-7946

1124060520 — HOME HEALTH MEDICAL EXPRESS, INC.
Practice Location Address:

135 E E ST
JACKSONVILLE, OR
97530-9246

Practice Phone: 541-702-2185
Practice Fax: 541-702-2203

1851325625 — RONMAX ENT INC
Practice Location Address:

195 EAST E STREET
JACKSONVILLE, OR
97530-9246

Practice Phone: 541-899-2077
Practice Fax: 541-899-1795

Directions to “ MR. DONALD KIRK REORDAN PT” Practice Location

Language	Start Address	Practice Location

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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.