JACOB ANDERSON REISS M.D. NPI 1023103652

NPI Information

NPI: 1023103652
Provider Name: JACOB ANDERSON REISS, M.D.
Classification: Medical Genetics - 207SG0201X
Entity Type: Individual

Specialization: Clinical Genetics (M.D.)

Address:
3325 N INTERSTATE AVE
PORTLAND, OR
ZIP 97227
Phone: (503) 331-6596
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Jacob Anderson Reiss, M.D. is a clinical genetics (m.d.) medical genetics in Portland, OR. The provider is a clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders. Jacob Anderson Reiss, M.D. NPI is 1023103652. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3325 N INTERSTATE AVE
PORTLAND, OR
ZIP 97227-022
Phone: (503) 331-6596
Fax: (503) 331-6320

The enumeration date for this NPI number is 10/3/2006 and was last updated on 7/16/2007.

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	207SG0201X	Medical Genetics	Clinical Genetics (M.D.)	WA MD00013839	WASHINGTON	No
2	207SG0201X	Medical Genetics	Clinical Genetics (M.D.)	G21401	CALIFORNIA	No
3	207SG0201X	Medical Genetics	Clinical Genetics (M.D.)	OR MD08690	OREGON	Yes

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: 4/28/2024

NPI Synchronization or Removal

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