Dr. Susan Karen Reichert
Pediatrician Neuromusculoskeletal Medicine (NMM)
125 Nw Greeley Ave
Bend
, Oregon 97701-2913
Dr. Susan Karen Reichert
Pediatrician Neuromusculoskeletal Medicine (NMM)
125 Nw Greeley Ave
Bend
, Oregon 97701-2913
(541) 419-8743
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About
Features
Specialties
- Neuromusculoskeletal Medicine (NMM)
- Pediatrician
Languages spoken
- English
Location
First Address
- Dr. Susan Karen Reichert
- 125 Nw Greeley Ave
- Bend, OR
- Zip : 97701-2913
- Phone : (541) 419-8743
Second Address
- Dr. Susan Karen Reichert
- 125 Nw Greeley Ave
- Bend, OR
- Zip : 97701-2913
- Phone : (541) 419-8743
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 204D00000X | Neuromusculoskeletal Medicine (NMM) | 16007 | OR |
| N | 208000000X | Pediatrician | 16007 | OR |
National Provider Identifier
| NPI | 1003019456 |
|---|---|
| Provider Name | Dr. Susan Karen Reichert |
| First Address | Bend, OR 97701-2913 |
| Second Address | Bend, OR 97701-2913 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/06/2007 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| E66314 | (02) | OR |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.