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NPI Code Detail

MEDICARE: LYDIA REED

MEDICARE: LYDIA REED
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
1101YM0800XMental Health CounselorOR

General Provider Information

NPI Number : 1598696403
Entity Type Code : Individual
Provider Name (Legal Business Name) : LYDIA REED
Provider Business Mailing Address
First Line : 1301 SE 19TH AVE
Second Line :
City : PORTLAND
State : OR
Zip : 97214-3806
Country : US
Telephone Number : 503-422-2621
Fax Number :
Provider Business Practice Location Address
First Line : 21900 WILLAMETTE DR STE 202
Second Line :
City : WEST LINN
State : OR
Zip : 97068-3284
Country : US
Telephone Number : 503-653-0631
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/28/2026
Last Update Date : 05/28/2026

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Directions to “ LYDIA REED ” Practice Location

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