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NPI Code Detail

MEDICARE: DONNA GISEL REED ARNP

MEDICARE: DONNA GISEL REED ARNP
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
1363LF0000XFamily Nurse Practitioner9179193FL
2363L00000XNurse Practitioner202107269NP-PPOR

General Provider Information

NPI Number : 1285693457
Entity Type Code : Individual
Provider Name (Legal Business Name) : DONNA GISEL REED ARNP
Provider Business Mailing Address
First Line : PO BOX 2847
Second Line :
City : CORVALLIS
State : OR
Zip : 97339-2847
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 920 SW RANGE DR
Second Line :
City : WALDPORT
State : OR
Zip : 97394-9634
Country : US
Telephone Number : 541-563-3197
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/17/2006
Last Update Date : 12/20/2021

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