Reese Family Practice PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

MD17594 Issued in OR

Legal business name

REESE FAMILY PRACTICE PC

Practice address

1755 Coburg Rd
BLDG 6B
Eugene, OR 97401-4982

Phone

(541) 255-3905

Fax

(541) 357-5527

NPI assigned

Sep 9, 2015

Organization subpart

No

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

Authorized official

Name

Rik Larson

Title

Prctice Administrator

Phone

(541) 255-3905

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1441756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443744000000",
    "number": "1619345501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40386",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974040060",
            "telephone_number": "541-255-0395",
            "fax_number": "541-357-5527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1755 COBURG RD",
            "address_2": "BLDG 6B",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974014982",
            "telephone_number": "541-255-3905",
            "fax_number": "541-357-5527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REESE FAMILY PRACTICE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-09",
        "last_updated": "2015-10-02",
        "status": "A",
        "authorized_official_last_name": "LARSON",
        "authorized_official_first_name": "RIK",
        "authorized_official_title_or_position": "PRCTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "541-255-3905"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "OR",
            "license": "MD17594",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "044854",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shanna Sheree Reed, LPN
• Therese Koenig Reed, R.N., N.H.A.
• Angela M Reeds, RDH
• Marissa Reen, PA-C
• Moushumi-Devyani Camille Reerslev, PA-C
• Kristi Joy Reese
• Randy L Reese, MD
• Anthony Eugene Reeser, RA
• Lucia Maria Reeser, B.ED
• Jennifer Reesor

• Specialist in Eugene, OR
• Providers in Eugene, OR by specialty
• Specialist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2015; 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.