IndividualActive
Elizaveta Reynolds
NPI 1497418651 · Clinical & Laboratory Immunology (Internal Medicine) Physician · Lake Oswego, OR
Provider details
- NPI number
- 1497418651
- Entity type
- Individual
- Primary specialty
- Clinical & Laboratory Immunology (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Sex
- Female
- Sole proprietor
- No
- License
- 38D2237496 (OR)
Specialties & taxonomies
- Clinical & Laboratory Immunology (Internal Medicine) PhysicianPrimary207RI0001XLicense 38D2237496 (OR)
Allopathic & Osteopathic Physicians
Practice location
13248 Rogers Rd
Lake Oswego, OR 97035-6752
Phone: (917) 539-9098
Approximate (ZIP-level) locationGet directions
Mailing address
13248 Rogers Rd
Lake Oswego, OR 97035-6752
Registry dates
- Enumerated
- 2021-10-14
- Last updated
- 2021-10-14
- Certified
- 2021-10-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.