John Roger Reichle, MD | |
1815 Sw Marlow Ave, Suite 110, Portland, OR 97225-5185 | |
(503) 292-0765 | |
(503) 292-5208 |
Full Name | John Roger Reichle |
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Gender | Male |
Speciality | General Practice |
Location | 1815 Sw Marlow Ave, Portland, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447354436 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | MD18452 (Oregon) | Primary |
Entity Name | Kaiser Foundation Health Plan Of The Northwest |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184786527 PECOS PAC ID: 5799688230 Enrollment ID: O20040130000799 |
Entity Name | Progressive Rehabilitation Associates Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790760908 PECOS PAC ID: 3476547258 Enrollment ID: O20040413001850 |
Mailing Address | Practice Location Address |
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John Roger Reichle, MD 1815 Sw Marlow Ave, Suite 110, Portland, OR 97225-5185 Ph: (503) 292-0765 | John Roger Reichle, MD 1815 Sw Marlow Ave, Suite 110, Portland, OR 97225-5185 Ph: (503) 292-0765 |
Rosalie Louise Movius, M.D. General Practice Medicare: Not Enrolled in Medicare Practice Location: 7410 Sw Oleson Rd, B 154, Portland, OR 97223 Phone: 503-309-7802 | |
Dr. Zarya Rubin, M.D. General Practice Medicare: Not Enrolled in Medicare Practice Location: 2738 Ne Broadway St, Portland, OR 97232 Phone: 503-282-1118 | |
Molly A Conroy, General Practice Medicare: Medicare Enrolled Practice Location: 3601 S River Pkwy, Portland, OR 97239 Phone: 503-679-5349 | |
Mr. Hollis Lule Augee, M.D. General Practice Medicare: Not Enrolled in Medicare Practice Location: 5151 S.w. 88th Ave., Portland, OR 97225 Phone: 503-292-9592 | |
Dr. Harriet Cooke, M.D. General Practice Medicare: Not Enrolled in Medicare Practice Location: 2929 Sw Multnomah Blvd Ste 301, Portland, OR 97219 Phone: 503-975-4571 | |
Russell Jared Madsen Jr., M.D. General Practice Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-8211 | |
Dr. Rita Lawler, DVM General Practice Medicare: Not Enrolled in Medicare Practice Location: 8353 Se Clatsop Ct, Portland, OR 97266 Phone: 505-604-3810 |