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1104926633
VICKI LYNNE REID
BEAVERTON, OR
NPI
1104926633
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: OR md20590)
Enumeration Date
2006-09-24
Last Update Date
2007-07-08
Business Address
-- VICKI LYNNE REID md
4855 SW WESTERN AVE
BEAVERTON, OR 97005-3460
Phone number: 503-520-4863
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Mailing Address
-- VICKI LYNNE REID md
8717 SW SHAWN PL
PORTLAND, OR 97223-6884
Phone number: 503-520-4863
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