Mrs Jennifer Leigh Reardon, | |
33785 Se Davona Dr, Scappoose, OR 97056-4513 | |
(503) 307-6834 | |
Not Available |
Full Name | Mrs Jennifer Leigh Reardon |
---|---|
Gender | Female |
Speciality | Registered Nurse - Neonatal Intensive Care |
Location | 33785 Se Davona Dr, Scappoose, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902405582 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163WH0200X | Registered Nurse - Home Health | 60699055 (Washington) | Secondary |
163WN0002X | Registered Nurse - Neonatal Intensive Care | 200441874 (Oregon) | Primary |
Entity Name | Maxem Health Urgent Care Lake Oswego |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902478225 PECOS PAC ID: 9830583905 Enrollment ID: O20220307001342 |
Mailing Address | Practice Location Address |
---|---|
Mrs Jennifer Leigh Reardon, 33785 Se Davona Dr, Scappoose, OR 97056-4513 Ph: (503) 307-6834 | Mrs Jennifer Leigh Reardon, 33785 Se Davona Dr, Scappoose, OR 97056-4513 Ph: (503) 307-6834 |
Mrs. Kathleen A. Mask, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 51671 E Lane Dr, Scappoose, OR 97056 Phone: 503-318-8897 Fax: 503-543-6444 | |
Mrs. April Ilona Wedgworth, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 28712 Chapman Rd, Scappoose, OR 97056 Phone: 503-543-8300 |