Active NPIOrganization

Agewell Geriatrics, LLC

Nurse Practitioner, Primary Care in Beaverton, Oregon

NPI Number1225698889
Practice location
13120 SW Heather CT, Beaverton, OR 97008-5612
Fax
503-639-3870
Last updated
June 17, 2019

Agewell Geriatrics, LLC is a healthcare organization based in Beaverton, OR. Agewell Geriatrics, LLC practices in Beaverton, OR. The NPI Number for Agewell Geriatrics, LLC is 1225698889. The current practice location address for Agewell Geriatrics, LLC is 13120 SW Heather CT, Beaverton, OR 97008-5612 and can be reached out via phone at 503-780-3708 and via fax at 503-639-3870.

Provider Profile Details

NPI Number
1225698889
Provider Name
Agewell Geriatrics, LLC
Provider Entity Type
Organization
Address
13120 SW Heather CT, Beaverton, OR 97008-5612
Phone Number
503-780-3708
Fax Number
503-639-3870
Primary Taxonomy
Nurse Practitioner, Primary Care · 363LP2300X
Organization Subpart
No
Authorized Official
Renee Ladene Reed, ANP-C, GNP-BC · Owner/Nurse Practitioner · 503-780-3708
Provider Enumeration Date
June 17, 2019
Last Update Date
June 17, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
13120 SW Heather CT
Beaverton, OR 97008-5612
State
Oregon
Zip
97008-5612
Phone Number
503-780-3708
Fax Number
503-639-3870
Beaverton, OR 97008Get directions →

Provider Business Mailing Address Details

Address
13120 SW Heather CT
Beaverton, OR 97008-5612
City
Beaverton
State
OR
Zip
97008-5612
Phone Number
503-780-3708
Fax Number
503-639-3870

License Information

Taxonomy
Nurse Practitioner, Primary Care · 363LP2300X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Agewell Geriatrics, LLC?

The NPI number of Agewell Geriatrics, LLC is 1225698889. It was assigned on June 17, 2019 and is currently active in the NPPES registry.

What is the specialty of Agewell Geriatrics, LLC?

Agewell Geriatrics, LLC is registered under the primary taxonomy Nurse Practitioner, Primary Care (code 363LP2300X).

Where does Agewell Geriatrics, LLC practice?

The practice location is 13120 SW Heather CT, Beaverton, OR 97008-5612. The office can be reached at 503-780-3708 (phone) or 503-639-3870 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1225698889 directly on the NPPES registry website.

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