Reyes, Mario J

Reyes, Mario J is an individual health care provider with primary practice located at 10690 Ne Cornell Rd Ste 220 , Hillsboro OR 97124-9224. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Phlebotomy, which is considered as his primary health care specialty. Reyes, Mario J can be contacted via phone (503) 848-5861.

Contact Information

Primary practice address
10690 Ne Cornell Rd Ste 220 Hillsboro OR 97124-9224
Phone: (503) 848-5861
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Phlebotomy 246RP1900X

Profile Details

NPI number 1447984257
LBN Legal business name Reyes, Mario J
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 16th, 2022
Last updated Jul 16th, 2022 - about 2 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 1447984257 NPPES
Oregon MEDICAID 246RP1900X

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