Individual provider · Type 1 NPI

Patricia Madeline Reilly, PNP

Pediatric Nurse Practitioner · Portland, OR

NPI number 1578660668 Active

Practice location

2801 N Gantenbein Ave
Portland, OR 97227-1623

Fax (503) 331-2410

Mailing address

2800 N Vancouver Ave, Suite 201
Portland, OR 97227-1630

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X089006877N2 (OR)
Pediatric Nurse Practitioner 363LP0200XAP30002381 (WA)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1578660668

Patricia Madeline Reilly, PNP's National Provider Identifier is 1578660668, issued on Sep 20, 2006. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Portland, OR. The record was last updated on Jul 12, 2007.