NPIMap

Organization Active NPI

Kelley R Reis LLC

  • Naturopath
  • Hillsboro, OR
National Provider Identifier
1407029234
Registry record updated Apr 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
1388 Issued in OR
Legal business name
KELLEY R REIS LLC
Practice address
172 SE 6TH Ave
Hillsboro, OR 97123-4129
Phone
(503) 693-0904
NPI assigned
Apr 13, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2008

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

Authorized official

Name
Dr. Kelley Renee Reis, NDNPI 1053402693
Title
Owner
Phone
(503) 693-0904

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
NaturopathGroup: 193400000X SINGLE SPECIALTY GROUP 175F00000X 1388 OR Primary

Addresses

Primary practice location

172 SE 6TH Ave
Hillsboro, OR 97123-4129

Mailing address

172 SE 6TH Ave
Hillsboro, OR 97123-4129
Phone (503) 693-0904

Other names 1

  • The Natural Medicine Center Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1208044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208044800000",
    "number": "1407029234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "172 SE 6TH AVE",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971234129",
            "telephone_number": "503-693-0904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "172 SE 6TH AVE",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971234129",
            "telephone_number": "503-693-0904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLEY R REIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-13",
        "last_updated": "2008-04-13",
        "status": "A",
        "authorized_official_last_name": "REIS",
        "authorized_official_first_name": "KELLEY",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-693-0904",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ND"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Naturopath",
            "state": "OR",
            "license": "1388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Natural Medicine Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hillsboro, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2008; 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.