Individual provider · Type 1 NPI

Paul Michael Reardon Jr.

Adult Psychiatric/Mental Health Registered Nurse · Portland, OR

NPI number 1356169726 Active

Practice location

3455 SW Veterans Hospital Rd
Portland, OR 97239-3076

Mailing address

705 NE 73rd Ave
Portland, OR 97213-6217

Specialties and licenses

TaxonomyCodeLicense
Adult Psychiatric/Mental Health Registered Nurse Primary 163WP0809X201507280RN (OR)

Adult Psychiatric/Mental Health Registered Nurse: Definition to come...

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About NPI 1356169726

Paul Michael Reardon Jr.'s National Provider Identifier is 1356169726, issued on Oct 2, 2024. The primary taxonomy on file is Adult Psychiatric/Mental Health Registered Nurse (163WP0809X), and the practice location is in Portland, OR. The record was last updated on Oct 2, 2024.