1871878355 NPI number — MS. NANCY LOUISE REYNOLDS LCSW,RN

Table of content: MS. NANCY LOUISE REYNOLDS LCSW,RN (NPI 1871878355)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1871878355 NPI number — MS. NANCY LOUISE REYNOLDS LCSW,RN

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
REYNOLDS
Provider First Name:
NANCY
Provider Middle Name:
LOUISE
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
LCSW,RN
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1871878355
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/17/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2327 NW NORTHRUP ST APT 17
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PORTLAND
Provider Business Mailing Address State Name:
OR
Provider Business Mailing Address Postal Code:
97210-2983
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
503-719-6943
Provider Business Mailing Address Fax Number:
503-227-2561

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
319 SW WASHINGTON ST
Provider Second Line Business Practice Location Address:
# 1015
Provider Business Practice Location Address City Name:
PORTLAND
Provider Business Practice Location Address State Name:
OR
Provider Business Practice Location Address Postal Code:
97204-2635
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
503-735-5994
Provider Business Practice Location Address Fax Number:
503-227-2561
Provider Enumeration Date:
10/17/2011

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X , with the licence number:  L4589 , registered in the state of OR ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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