Reddoch, Jana Marie

Reddoch, Jana Marie is an individual health care provider with primary practice located at 9155 Sw Barnes Rd Suite 416 , Portland OR 97225. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecologic Oncology, which is considered as her primary health care specialty. Reddoch, Jana Marie can be contacted via phone (503) 297-8700.

Contact Information

Primary practice address
9155 Sw Barnes Rd Suite 416 Portland OR 97225
Fax: (503) 297-2201
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecologic Oncology 207VX0201X 16638 Oregon

Profile Details

NPI number 1164592382
LBN Legal business name Reddoch, Jana Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164592382 NPPES
Oregon MEDICAID 024660

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