Peter Reed

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MD172253 Issued in OR

Practice address

7150 SW Dartmouth St
Tigard, OR 97223-7614

Phone

(503) 968-3480

NPI assigned

Mar 21, 2012

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: preed@panw.pcc-direct.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pediatric Associates of the Northwest, PC

  • Pediatrics Physician
  • Tigard, OR
  • NPI 1174488787
  NPD (past)
• Pediatric Associates of the Northwest, PC

  • Pediatrics Physician
  • Beaverton, OR
  • NPI 1528066859
  NPD (past)
• Pediatric Associates of the Northwest, PC

  • Pediatrics Physician
  • Portland, OR
  • NPI 1831054436
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1332288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543363200000",
    "number": "1083989206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7150 SW DARTMOUTH ST",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972237614",
            "telephone_number": "503-968-3480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7150 SW DARTMOUTH ST",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972237614",
            "telephone_number": "503-968-3480"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 Colchester Ave",
            "address_2": "Mailstop 265SM5",
            "address_purpose": "LOCATION",
            "city": "Burlington",
            "state": "VT",
            "postal_code": "054011473",
            "country_code": "US",
            "telephone_number": "802-847-3544",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REED",
        "first_name": "PETER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-21",
        "last_updated": "2018-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OR",
            "license": "MD172253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayla Marie Reddy
• Nalini Jotika Reddy
• Preslee Redfield
• Maria Gusenkov Reebs, DNP-FNP
• Leigh Hoagland Reece, DPT
• Renee Reed, MSN,RN,ANP-C,GNP-BC
• Sarah Reed, PA-C
• Andrea Reeder
• Katie Reeder
• Azalea J Rees, PTA

• Pediatrics Physician in Tigard, OR
• Providers in Tigard, OR by specialty
• Pediatrics Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.