Reis, Kelley Renee
Reis, Kelley Renee is an sole proprietor health care provider with primary practice located at 172 Se 6Th Ave , Hillsboro OR 97123-4129. She recently has only one registered license in Other Service Providers / Naturopath, which is considered as her primary health care specialty. Reis, Kelley Renee can be contacted via phone (503) 693-0904.Contact Information
Primary practice address
172 Se 6Th Ave
Hillsboro OR 97123-4129
Phone: (503) 693-0904
Fax: (503) 693-0994
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Naturopath | 175F00000X | 1388 | Oregon |
Profile Details
| NPI number | 1053402693 |
|---|---|
| LBN Legal business name | Reis, Kelley Renee |
| Credentials | N.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 27th, 2006 |
| Last updated | Jul 9th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053402693 | NPPES |
| Oregon | MEDICAID | 022973 |
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