NPI 1023103652

Jacob Anderson Reiss, MD

Practitioner Clinical Genetics (M.D.) Physician Portland, OR

Practice location

Address: 3325 N Interstate Ave, Portland, OR 97227-1022
Phone: (503) 331-6596
Fax: (503) 331-6320
Mailing address: 3325 N Interstate Ave Kaiser Permanente Interstate Medical Office West, Portland, OR 97227-1020

Registered specialties (3)

Clinical Genetics (M.D.) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207SG0201X Licence OR MD08690 (OR)

Other Medical Genetics providers in Oregon →

Clinical Genetics (M.D.) Physician

Allopathic & Osteopathic Physicians Taxonomy 207SG0201X Licence WA MD00013839 (WA)

Clinical Genetics (M.D.) Physician

Allopathic & Osteopathic Physicians Taxonomy 207SG0201X Licence G21401 (CA)

Registry record

NPI: 1023103652
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Oct 2006
Record last updated: 16 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.