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Mr. Ricco Cory Reynolds, FNP-C
Family Nurse Practitioner in Portland, Oregon
NPI 1205435997

Ricco Cory Reynolds is a Family Nurse Practitioner based in Portland, OR and is specialized in Family. Ricco Cory Reynolds practices in Portland, OR and has the professional credentials of FNP-C. The NPI Number for Ricco Cory Reynolds is 1205435997 and holds a License No. (Oregon).

The current practice location address for Ricco Cory Reynolds is 3181 Sw Sam Jackson Park Rd, Portland, OR and can be reached out via phone at 503-494-8311.

Location: 3181 Sw Sam Jackson Park Rd, Portland, OR, 97239-3011
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205435997
Provider Name
Ricco Cory Reynolds
Credential
FNP-C
Provider Entity Type
Individual
Gender
Male
Address
3181 Sw Sam Jackson Park Rd, Portland, OR, 97239-3011
Phone Number
503-494-8311
Fax Number
Provider Enumeration Date
10/22/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
202213334NP-PP 01 OR OREGON STATE BOARD OF NURSING
AP61363661 01 WA WASHINGTON DEPARTMENT OF HEALTH
institution
Provider Business Practice Location Address Details
Address
3181 Sw Sam Jackson Park Rd
City
Portland
State
Oregon
Zip
97239-3011
Phone Number
503-494-8311
Fax Number
person
Provider Business Mailing Address Details
Address
3181 Sw Sam Jackson Park Rd
City
Portland
State
Oregon
Zip
97239-3011
Phone Number
503-494-8311
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Specialist/Technologist
Speciality
Athletic Trainer
Taxonomy
2255A2300X
License No.
()
Definition
Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
API61363661 (Washington)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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