Jacob Anderson Reiss
Clinical Genetics (M.D.)
3325 N Interstate Ave
Portland
, Oregon 97227-1022
Jacob Anderson Reiss
Clinical Genetics (M.D.)
3325 N Interstate Ave
Portland
, Oregon 97227-1022
(503) 813-2000
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About
Features
Specialties
- Clinical Genetics (M.D.)
Languages spoken
- English
Location
First Address
- Jacob Anderson Reiss
- 3325 N Interstate Ave Kaiser Permanente Interstate Medical Office West
- Portland, OR
- Zip : 97227-1020
- Phone : (503) 813-2000
Second Address
- Jacob Anderson Reiss
- 3325 N Interstate Ave
- Portland, OR
- Zip : 97227-1022
- Fax : (503) 331-6320
- Phone : (503) 331-6596
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207SG0201X | Clinical Genetics (M.D.) | G21401 | CA |
| Y | 207SG0201X | Clinical Genetics (M.D.) | OR MD08690 | OR |
| N | 207SG0201X | Clinical Genetics (M.D.) | WA MD00013839 | WA |
National Provider Identifier
| NPI | 1023103652 |
|---|---|
| Provider Name | Jacob Anderson Reiss |
| First Address | Portland, OR 97227-1020 |
| Second Address | Portland, OR 97227-1022 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/10/2006 |
| Last Update Date | 16/07/2007 |
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.