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DR. GREGG REITER PHD

Clinical Neuropsychologist

Portland, Oregon

Provider NPI: 1730163833

Provider Information:
DR. GREGG  REITER PHD
Gender: M
Sole Proprietor


Practice Location:
5050 NE HOYT ST STE 422 PORTLAND, OR 97213 US
Tel: 503-236-4343  Fax: 503-234-0271

Business Mailing Address:
3439 NE SANDY BLVD PMB 375 PORTLAND, OR 97232 US
Tel: 503-284-8841  Fax: 503-282-3302

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
OR298

Other Provider Identifiers:

IssuerNumberStateType
R0000TCGDVOR04
165571OR05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







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