Active NPI
Susan Reeder
- Specialist
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 022512
- Practice address
- 10535 NE Glisan St Ste 350
Portland, OR 97220-4076 - Phone
- (503) 408-1323
- NPI assigned
- Jul 10, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Specialist | 174400000X | 022512 | OR | Primary |
Addresses
Primary practice location
10535 NE Glisan St Ste 350
Portland, OR 97220-4076
Mailing address
10218 NE 74TH St
Vancouver, WA 98662-3870
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR, AK, WA
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1015 NW 22ND Ave
Portland, OR 97210-3025
Phone (503) 413-7711
1130 NW 22ND Ave
Suite 400
Portland, OR 97210-2971
Phone (503) 413-6722
128 Lilly Rd NE
Suite 202
Olympia, WA 98506-7400
Phone (360) 357-6314
8800 Glacier Hwy
Suite 116
Juneau, AK 99801-8079
Phone (907) 789-6780
Hospital & facility affiliations
- Legacy Good Samaritan Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 022512 | OR | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medford Ear Nose and Throat Clinic PC | Current | Accepting new patients | |
| Entoffice.Org, PLLC | Current | Accepting new patients | |
| Legacy Good Samaritan Hospital and Medical Center | Current | Accepting new patients | |
| The Vancouver Clinic Inc PS | Current | Accepting new patients | |
| The Vancouver Clinic Inc PS | Current | Accepting new patients | |
| Ear Nose and Throat Associates Southwest Inc PS | Current | Accepting new patients | |
| The Vancouver Clinic Inc PS | Current | Accepting new patients | |
| Legacy Good Samaritan Hospital and Medical Center | Current | Accepting new patients | |
| Ear Nose and Throat Associates Southwest Inc PS | Specialist | Current | Accepting new patients |
| Ear Nose and Throat Associates PLLC | Current | Accepting new patients | |
| Suzanne Cleland Zamudio MD PC | Past | Accepting new patients | |
| Legacy Salmon Creek Hospital | Past | Accepting new patients | |
| Portland Ear Nose & Throat | Past | Accepting new patients |
Locations
1170 Royal Ave
Medford, OR 97504
Phone (541) 512-4771
1040 NW 22nd Ave
Ste 168
Portland, OR 97210
Phone (503) 413-7022
1130 NW 22nd Ave
Ste 400
Portland, OR 97210
Phone (503) 413-6555
1919 NW Lovejoy St
Portland, OR 97209
Phone (503) 415-5600
128 Lilly Rd NE
Ste 202
Olympia, WA 98506
Phone (360) 357-6314
2621 NE 134th St
Ste 300
Vancouver, WA 98686
Phone (360) 718-2355
700 NE 87th Ave
Vancouver, WA 98664
Phone (360) 397-1500
2121 NE 139th St
Ste 245
Vancouver, WA 98686
Phone (360) 326-3966
Organizations & group practices 14
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.
-
- General Acute Care Hospital
- Portland, OR
- NPI 1780608216
-
- Ambulatory Surgical Clinic/Center
- Olympia, WA
- NPI 1487669305
Specialist
-
- Audiologist-Hearing Aid Fitter
- Juneau, AK
- NPI 1649372129
-
- Otolaryngology Physician
- Medford, OR
- NPI 1669490546
-
- Otolaryngology Physician
- Olympia, WA
- NPI 1023767274
-
- Internal Medicine Physician
- Vancouver, WA
- NPI 1992759427
-
- Community/Retail Pharmacy
- Portland, OR
- NPI 1609896174
-
- Otolaryngology Physician
- Olympia, WA
- NPI 1376306852
-
- Clinic/Center
- Vancouver, WA
- NPI 1740579606
-
- Ambulatory Surgical Clinic/Center
- Vancouver, WA
- NPI 1306556907
-
- Eyewear Supplier
- Ridgefield, WA
- NPI 1760004477
-
- Otolaryngology Physician
- Portland, OR
- NPI 1598835688
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Clinic/Center
- Portland, OR
- NPI 1679597108
Hospital
-
- General Acute Care Hospital
- Portland, OR
- NPI 1780608216
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184025600000",
"number": "1790983757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10218 NE 74TH ST",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986623870"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10535 NE GLISAN ST STE 350",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972204076",
"telephone_number": "503-408-1323"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REEDER",
"first_name": "SUSAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-10",
"last_updated": "2007-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "OR",
"license": "022512",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.