MEDICARE: MR. CARL EUGENE REIMER MFT

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	106H00000X	Marriage & Family Therapist	T0432	OR

General Provider Information

NPI Number	:	1851557243
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. CARL EUGENE REIMER MFT

Provider Business Mailing Address
First Line	:	345 JANICE WAY
Second Line	:
City	:	MERLIN
State	:	OR
Zip	:	97532-9805
Country	:	US
Telephone Number	:	541-659-8000
Fax Number	:

Provider Business Practice Location Address
First Line	:	345 JANICE WAY
Second Line	:
City	:	MERLIN
State	:	OR
Zip	:	97532-9805
Country	:	US
Telephone Number	:	541-659-8000
Fax Number	:

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

Provider Enumeration Date	:	08/05/2008
Last Update Date	:	11/14/2012

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Directions to “ MR. CARL EUGENE REIMER MFT” Practice Location

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