JOSHUA D REAGAN

Address: 10330 Se 32nd Ave, Suite 205, Milwaukie, OR 97222-6594
Phone: 5035138950

JOSHUA D REAGAN (NPI# 1124093281) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1124093281
Entity Type 1 - Individual
Full Name JOSHUA D REAGAN
Credential MD
Practice Address 10330 Se 32nd Ave
Suite 205
Milwaukie
OR 97222-6594
Mailing Address Po Box 3158
Portland
OR 97208-3158
Practice Telephone 5035138950
Practice Fax Number 5037724337
Mailing Telephone 5032156494
Mailing Fax Number 5032156644
Enumeration Date 02/22/2006
Last Update Date 02/28/2012
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine MD23905 OR Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
WA WA DEPT. OF L&I 0186583 01
OR 226869 05

Office Location

Street Address 10330 SE 32ND AVE
SUITE 205
City MILWAUKIE
State OR
Zip Code 97222-6594

Providers with the same location

NPI Name Address
1417941154 JOHN WILLIAM RAGSDALE 10330 Se 32nd Ave, Suite 340, Milwaukie, OR 97222-6587
1356328959 MR. FRANK GEMMATO 10330 Se 32nd Ave, #120, Milwaukie, OR 97222-6587
1255302691 NANCY LIN 10330 Se 32nd Ave, Suite 305, Milwaukie, OR 97222-6587
1336101336 HERBERT TIRJER 10330 Se 32nd Ave, Suite 226, Milwaukie, OR 97222-6587
1629034152 JESSICA V BURNESS 10330 Se 32nd Ave, Suite 205, Milwaukie, OR 97222-6587
1992744056 JOHN CHRISTOPHER ANDERSON 10330 Se 32nd Ave, Suite 205, Milwaukie, OR 97222-6587
1134157647 WILLIAM R GILLANDERS 10330 Se 32nd Ave, Suite 205, Milwaukie, OR 97222-6587
1710916051 ELIZABETH G KLEIN 10330 Se 32nd Ave, Suite 205, Milwaukie, OR 97222-6587
1346272457 DR. JASON DEAN SUNDSETH 10330 Se 32nd Ave, Milwaukie, OR 97222-6587
1700819125 CYNTHIA E TALBOT 10330 Se 32nd Ave, Suite 205, Milwaukie, OR 97222-6587

Competitor

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City MILWAUKIE
Zip Code 97222

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.