JANA MARIE REDDOCH MD NPI 1164592382

NPI Information

NPI: 1164592382
Provider Name: JANA MARIE REDDOCH, MD
Classification: Obstetrics & Gynecology - 207VX0201X
Entity Type: Individual

Specialization: Gynecologic Oncology

Address:
9155 SW BARNES RD SUITE 416
PORTLAND, OR
ZIP 97225
Phone: (503) 297-8700
Get Directions

Jana Marie Reddoch, MD is a gynecologic oncology obstetrics gynecology in Portland, OR. The provider is an obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications. Jana Marie Reddoch, MD NPI is 1164592382. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

9155 SW BARNES RD SUITE 416
PORTLAND, OR
ZIP 97225
Phone: (503) 297-8700
Fax: (503) 297-2201

The enumeration date for this NPI number is 11/8/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207VX0201X	Obstetrics & Gynecology	Gynecologic Oncology	16638	OREGON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	F61252	MEDICARE UPIN
2	R103676	MEDICARE ID-TYPE UNSPECIFIED
3	024660	MEDICAID	OREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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