Whalio Doctors

NPI 1689682254

Roger Reynolds, DO

Practitioner Family Medicine Physician Forest Grove, OR

Practice location

Address
1825 Maple St, Forest Grove, OR 97116-1939
Phone
(503) 357-2136

Registered specialties

Family Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence DO18450 (OR)

Registry record

NPI
1689682254
Entity type
Individual
Sex (as registered)
Male
NPI issued
3 Aug 2006
Record last updated
10 Jan 2013

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.