Individual provider · Type 1 NPI

Kevin Michael Reavis, MD

Surgery Physician · Portland, OR

NPI number 1891749149 Active

Practice location

4805 NE Glisan St Ste 6N60
Portland, OR 97213-2933

Fax (503) 935-8940

Mailing address

541 NE 20th Ave Ste 225
Portland, OR 97232-2895

Other practice locations

  • 9155 SW Barnes Rd Ste 735, Portland, OR 97225-6634 · (503) 935-8379

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician 208600000X35087725 (OH)
Surgery Physician Primary 208600000XMD24248 (OR)

Surgery Physician: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…

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About NPI 1891749149

Kevin Michael Reavis, MD's National Provider Identifier is 1891749149, issued on May 20, 2006. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Portland, OR. The record was last updated on Sep 18, 2025.