Reed Dermatology Northwest LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

MD153328 Issued in OR

Legal business name

REED DERMATOLOGY NORTHWEST LLC

Practice address

13305 NW Cornell Rd Ste C
Portland, OR 97229-5987

Phone

(503) 765-5000

Fax

(866) 742-0249

NPI assigned

Sep 30, 2014

Organization subpart

No

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

Authorized official

Name

Lisa Hood

Title

Manager

Phone

(503) 542-0805

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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

• Stacy Nicole Reed, MD

  • Dermatology Physician
  • Portland, OR
  • NPI 1285891168
  Medicare reassignment NPD

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

{
    "created_epoch": "1412035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601510400000",
    "number": "1881097194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13305 NW CORNELL RD STE C",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972295987",
            "telephone_number": "503-765-5000",
            "fax_number": "866-742-0249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13305 NW CORNELL RD STE C",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972295987",
            "telephone_number": "503-765-5000",
            "fax_number": "866-742-0249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REED DERMATOLOGY NORTHWEST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-30",
        "last_updated": "2020-10-01",
        "certification_date": "2020-10-01",
        "status": "A",
        "authorized_official_last_name": "HOOD",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "503-542-0805"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "OR",
            "license": "MD153328",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500678676",
            "state": "OR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lisa@reedmd.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "13305 NW Cornell Rd Ste C",
            "city": "Portland",
            "state": "OR",
            "country_code": "US",
            "postal_code": "972295987",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Forrest Gowen Redwood, DC
• Joseph Robert Reeb, PT
• Abendigo Reebs, N.D.
• Gloria Michelle Reed (Hood), CRM, CRMII
• Reed Behavior Support, LLC
• Carldesha Ann Reed-Holden
• Adrienne Brooke Reed, RDH
• Alessandra Reed, OTR/L
• Alyssa L Reed, LAC
• Ashly Alyce Reed

• Dermatology Physician in Portland, OR
• Providers in Portland, OR by specialty
• Dermatology Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2020; 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.

Verify at the official NPI Registry.