Individual provider · Type 1 NPI

Reid Wilder Fillman, PA-C

Medical Physician Assistant · Portland, OR

NPI number 1386137792 Active

Practice location

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011

Call (503) 494-8311 Map

Other practice locations

  • 2730 SW Moody Ave, Portland, OR 97201-5042 · (503) 494-3633

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Physician Assistant 363A00000XNone listed
Medical Physician Assistant Primary 363AM0700XPA195775 (OR)

Medical Physician Assistant: Definition to come...

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About NPI 1386137792

Reid Wilder Fillman, PA-C's National Provider Identifier is 1386137792, issued on Jun 11, 2018. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Portland, OR. The record was last updated on Jun 16, 2022.