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:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 103G00000X | Behavioral Health & Social Service Providers Clinical Neuropsychologist | OR | 298 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
165571 | OR | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin