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Tina Reaves

NPI 1194462085 · on the registry since 2022

Practice

Address
1346 Daisy Ln
Grants Pass, OR 97527
Phone
(541) 761-0079

Registry record

Primary taxonomy
374U00000X
374U00000X
Also registered as
374U00000X
Licence states on file
OR
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-05-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon