Paul Douglas Reicherter
Dermatologist Dermatopathologist Procedural Dermatology Pediatric Dermatologist and 6 more
1813 W Harvard Ave Ste 310
Roseburg
, Oregon 97471-2752
Paul Douglas Reicherter
Dermatologist Dermatopathologist Procedural Dermatology Pediatric Dermatologist and 6 more
1813 W Harvard Ave Ste 310
Roseburg
, Oregon 97471-2752
(541) 957-8446
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About
Features
Specialties
- Dermatologist
- MOHS-Micrographic Surgeon
- Dermatopathologist
- Pediatric Dermatologist
- Procedural Dermatology
Languages spoken
- English
Location
First Address
- Paul Douglas Reicherter
- 1813 W Harvard Ave Ste 310
- Roseburg, OR
- Zip : 97471-2752
- Fax : (541) 957-8446
- Phone : (541) 672-7546
Second Address
- Paul Douglas Reicherter
- 1813 W Harvard Ave Ste 310
- Roseburg, OR
- Zip : 97471-2752
- Fax : (541) 957-8446
- Phone : (541) 672-7546
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FAQs
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What type of doctor is Paul Douglas Reicherter
In what state does Paul Douglas Reicherter practice in?
Where is Paul Douglas Reicherter ’s practice located?
What is Paul Douglas Reicherter ’s gender?
Is Paul Douglas Reicherter a sole practitioner?
Is Paul Douglas Reicherter accepting new patients?
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Does Paul Douglas Reicherter have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207N00000X | Dermatologist | 2015039802 | MO |
| N | 207N00000X | Dermatologist | MD23536 | OR |
| N | 207ND0101X | MOHS-Micrographic Surgeon | 2015039802 | MO |
| Y | 207ND0101X | MOHS-Micrographic Surgeon | MD23536 | OR |
| N | 207ND0900X | Dermatopathologist | 2015039802 | MO |
| N | 207ND0900X | Dermatopathologist | MD23536 | OR |
| N | 207NP0225X | Pediatric Dermatologist | 2015039802 | MO |
| N | 207NP0225X | Pediatric Dermatologist | MD23536 | OR |
| N | 207NS0135X | Procedural Dermatology | 2015039802 | MO |
| N | 207NS0135X | Procedural Dermatology | MD23536 | OR |
National Provider Identifier
| NPI | 1053379826 |
|---|---|
| Provider Name | Paul Douglas Reicherter |
| First Address | Roseburg, OR 97471-2752 |
| Second Address | Roseburg, OR 97471-2752 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/05/2006 |
| Last Update Date | 17/03/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1053379826 | (05) | MO |
| 286785 | (05) | OR |
| 38D1028702 | CLIA # (01) | OR |
| 838392000 | BLUE CROSS (01) | OR |
| DC5977 | RAILROAD MEDICARE (01) | OR |
| H50692 | (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.