OrganizationActive
Agewell Geriatrics, LLC
NPI 1225698889 · Primary Care Nurse Practitioner · Beaverton, OR
Provider details
- NPI number
- 1225698889
- Entity type
- Organization
- Primary specialty
- Primary Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Renee Reed, Owner/Nurse Practitioner(503) 780-3708
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
13120 Sw Heather Ct
Beaverton, OR 97008-5612
Phone: (503) 780-3708
Fax: (503) 639-3870
Approximate (ZIP-level) locationGet directions
Mailing address
13120 Sw Heather Ct
Beaverton, OR 97008-5612
Registry dates
- Enumerated
- 2019-06-17
- Last updated
- 2019-06-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.