| Roger Reynolds, DO | |
|
1825 Maple St, Forest Grove, OR 97116-1939 | |
| (503) 357-2136 | |
| Not Available |
| Full Name | Roger Reynolds |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 1825 Maple St, Forest Grove, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689682254 | NPI | - | NPPES |
| 56908 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | DO18450 (Oregon) | Primary |
| Entity Name | Tuality Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073929782 PECOS PAC ID: 7416173414 Enrollment ID: O20140729000238 |
| Mailing Address | Practice Location Address |
|---|---|
| Roger Reynolds, DO 1825 Maple St, Forest Grove, OR 97116-1939 Ph: () - | Roger Reynolds, DO 1825 Maple St, Forest Grove, OR 97116-1939 Ph: (503) 357-2136 |
Dr. Timothy J. Gray Sr., D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1909 Mountain View Ln, Suite 200, Forest Grove, OR 97116 Phone: 503-359-4773 Fax: 503-359-3809 | |
Sheridan Thiringer, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1825 Maple St, Forest Grove, OR 97116 Phone: 503-357-2136 | |
Marilyn J Booth, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 3305 19th Ave, Forest Grove, OR 97116 Phone: 503-357-7194 Fax: 503-357-5735 | |
Emaan Khan, PA-C Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1825 Maple St, Forest Grove, OR 97116 Phone: 503-357-2136 | |
Khanh-uyen Tina Huu Nguyen, PA Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1825 Maple St, Forest Grove, OR 97116 Phone: 503-359-6180 Fax: 503-359-6105 | |
Dr. Benjamin Robert Burton, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1909 Mountain View Ln Ste 200, Forest Grove, OR 97116 Phone: 503-359-4773 | |
Dr. Sean Lincoln Steward, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 3838 Pacific Ave, Forest Grove, OR 97116 Phone: 503-992-0288 |