Active NPI
Abelina I Reyes, RN
- Registered Nurse
- Lake Oswego, OR
National Provider Identifier
1053962753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 201908531
- Practice address
- 4345 Westbay Rd
Lake Oswego, OR 97035-5525 - Phone
- (503) 789-5345
- NPI assigned
- Sep 24, 2019
- Last updated
- Sep 24, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 201908531 | OR | Primary |
Addresses
Primary practice location
4345 Westbay Rd
Lake Oswego, OR 97035-5525
Mailing address
41727 NW Oak Way
Banks, OR 97106-6022
Phone (503) 858-4393
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 201908531 | OR | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569283200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569283200000",
"number": "1053962753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41727 NW OAK WAY",
"city": "BANKS",
"state": "OR",
"postal_code": "971066022",
"telephone_number": "503-858-4393"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4345 WESTBAY RD",
"city": "LAKE OSWEGO",
"state": "OR",
"postal_code": "970355525",
"telephone_number": "503-789-5345"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYES",
"first_name": "ABELINA",
"middle_name": "I",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-09-24",
"last_updated": "2019-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OR",
"license": "201908531",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Oswego, OR
- Renaissance Recovery Resources, Inc. (Oregon Recovery Behavioral Health)
- Hunter Renish
- Restorative Health Clinic
- Restorative Health Clinic, LLC
- Jaquelyn Victoria Reyes Alonzo
- Elizaveta Reynolds
- Melinda Reynolds, LPC
- RF Heikens Enterprises, Inc (Elements Therapeutic Massage - Lake Oswego)
- Joseph P Rhinewine, PH.D.
- Dale V Rhoney, DDS PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.