IndividualActive
Paul Reardon
NPI 1356169726 · Adult Psychiatric/Mental Health Registered Nurse · Portland, OR
Provider details
- NPI number
- 1356169726
- Entity type
- Individual
- Primary specialty
- Adult Psychiatric/Mental Health Registered NurseNursing Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 201507280RN (OR)
Specialties & taxonomies
Nursing Service Providers
Practice location
3455 Sw Veterans Hospital Rd
Portland, OR 97239-3076
Phone: (757) 818-3796
Approximate (ZIP-level) locationGet directions
Mailing address
705 Ne 73rd Ave
Portland, OR 97213-6217
Registry dates
- Enumerated
- 2024-10-02
- Last updated
- 2024-10-02
- Certified
- 2024-10-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.