PAUL MICHAEL REARDON NPI 1356169726

NPI Information

  • NPI: 1356169726
  • Provider Name: PAUL MICHAEL REARDON
  • Classification: Registered Nurse - 163WP0809X
  • Specialization: Psychiatric/Mental Health, Adult
  • Entity Type: Individual
  • Address: 3455 SW VETERANS HOSPITAL RD
    PORTLAND, OR
    ZIP 97239
  • Phone: (757) 818-3796

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NPI Details

Paul Michael Reardon is a psychiatric/mental health and adult registered nurse in Portland, OR. Paul Michael Reardon NPI is 1356169726. 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:

3455 SW VETERANS HOSPITAL RD
PORTLAND, OR
ZIP 97239-076
Phone: (757) 818-3796

The enumeration date for this NPI number is 10/2/2024 and was last updated on 10/2/2024.

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
1163WP0809XRegistered NursePsychiatric/Mental Health, Adult201507280RNOREGONYes

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: 3/30/2025

NPI Synchronization or Removal

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