Joshua D Reagan
Family Medicine

Address: 10330 Se 32nd Ave, Suite 205, Milwaukie, OR 97222-6594
Phone: 5035138950

Joshua D Reagan (NPI# 1124093281) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1124093281
Entity Type Individual
Full Name Joshua D Reagan
Credential MD
Gender Male
Practice Address 10330 Se 32nd Ave
Suite 205
Milwaukie
OR 97222-6594
Practice Telephone 5035138950
Practice Fax Number 5037724337
Mailing Address Po Box 3158
Portland
OR 97208-3158
Mailing Telephone 5032156494
Mailing Fax Number 5032156644
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2006-02-22
Last Update Date 2012-02-28

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 207Q00000X Family Medicine Allopathic & Osteopathic Physicians MD23905 OR

Other Provider Identifier

State Identifier Issuer Type Code
WA 0186583 OTHER WA DEPT. OF L&I
OR 226869 MEDICAID

Other Providers JOSHUA REAGAN

NPI Name Taxonomy Address Enumeration
1649718065 Joshua Reagan Counselor 423 Medical Park Dr, Lenoir City, TN 37772-5640 2017-02-06

Physician Overview

NPI 1124093281
PAC ID by PECOS 6103896337
Professional Enrollment ID I20040727000620
Full Name Joshua D Reagan
Organization Legal Name PROVIDENCE HEALTH AND SERVICES OREGON
Phone Number 5035138336
Gender M
Credential MD
Medical School UNIVERSITY OF CALIFORNIA, SAN FRANCISCO SCHOOL OF MEDICINE
Graduation Year 2000
Primary Specialty FAMILY PRACTICE
Group Practice PAC ID 0648183608
Number of Group Practice Members 1040
Accepts Medicare Assignment Y
Report Quality Measures Y
Use Electronic Health Records Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
380082 PROVIDENCE MILWAUKIE HOSPITAL
380061 PROVIDENCE PORTLAND MEDICAL CENTER

Office Location

Street Address 10330 SE 32ND AVE
SUITE 205
City MILWAUKIE
State OR
Zip Code 97222-6594

Providers in the same location

NPI Name Taxonomy Address Enumeration
1417941154 John William Ragsdale Surgery 10330 Se 32nd Ave, Suite 340, Milwaukie, OR 97222-6587 2005-09-08
1457831455 Mayanna Lynne Dettwyler Occupational Therapy Assistant 10330 Se 32nd Ave, Milwaukie, OR 97222-6587 2018-08-19
1427536747 Mladen Kolundzija Physical Therapist 10330 Se 32nd Ave, Milwaukie, OR 97222-6587 2018-07-30
1205314580 Jillian Haney Physical Therapist 10330 Se 32nd Ave, Milwaukie, OR 97222-6587 2018-07-30
1235640574 Tram Huyen Thi Pham Licensed Practical Nurse 10330 Se 32nd Ave, Milwaukie, OR 97222-6587 2017-10-13
1295253367 Lynda Devery Registered Nurse 10330 Se 32nd Ave, Milwaukie, OR 97222-6587 2017-09-08
1083140115 Jamie L Skreen Student in an Organized Health Care Education/Training Program 10330 Se 32nd Ave, Ste 205, Milwaukie, OR 97222 2017-05-10
1831625011 Rachel K Jackson Student in an Organized Health Care Education/Training Program 10330 Se 32nd Ave, Ste 205, Milwaukie, OR 97222-6587 2017-05-05
1851822555 Alta May Hertz Registered Nurse 10330 Se 32nd Ave, Suite 325, Milwaukie, OR 97222-6587 2017-03-23
1073053351 Lucy Rideout Registered Nurse 10330 Se 32nd Ave, 110, Milwaukie, OR 97222-6587 2017-03-06
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1851892368 Arrow Dental LLC Dentist 10505 Se 17th Avenue, Milwaukie, OR 97222 2018-02-21
1598271991 Chelsea Jean Ingrim Audiologist 10330 Se 32nd Ave Ste 105, Milwaukie, OR 97222 2017-12-20
1487167565 Brian Gia Son Phan Dentist 3245 Se Campbell Street, Milwaukie, OR 97222 2017-11-10
1851814016 Cathy Maria Andrew Acupuncturist 11022 Se Stanley Ave, Milwaukie, OR 97222 2017-07-19
1972025369 Sarah Elizabeth Giles Peer Specialist 11097 Se 21st Ave., Milwaukie, OR 97222 2017-07-07
1366976292 Brittany Reubendale Physical Therapist 12705 See River Rd, Portland, OR 97222 2017-04-18
1669916383 Margie Hertz Registered Nurse 6406 Se Cedarcrest Drive, Milwaukie, OR 97222 2016-12-14
1952858094 Alexis Escobar Speech-Language Pathologist 4560 Se International Way, Ste 100, Milwaukie, OR 97222 2016-09-07
1558744086 Kyle Eugene Coan Specialist 3306 Se Wister St, Milwaukie, OR 97222 2015-07-01
1366834194 Genevieve Carey Massage Therapist 2100 Se Lake Rd., Suite 2d, Milwaukie, OR 97222 2015-03-03
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1780900969 William Daniel Ruegg Family Medicine 10330 Se 32nd Ave Ste 205, Milwaukie, OR 97222-6594 2010-04-14
1437165453 Robin L Richardson Family Medicine 5646 Se Hillwood Cir, Milwaukie, OR 97267-4141 2006-07-31
1376599910 Randall Fryer Family Medicine 17070 Se Mcloughlin Blvd, Milwaukie, OR 97267-4960 2006-05-25
1699723304 Joseph E. Yankee Family Medicine 6564 Se Lake Road, Suite 100, Milwaukie, OR 97222-2238 2006-05-04
1689639841 Marcus H Cornwall Family Medicine 6975 Se Lake Rd, Milwaukie, OR 97267-2103 2006-04-19
1346218369 Oak Grove Family Medical Clinic P C Family Medicine 2250 Se Oak Grove Blvd #b, Milwaukie, OR 97267-2670 2006-03-08
1811970346 Sara K. Becker Family Medicine 3033 Se Monroe St, Milwaukie, OR 97222-6636 2005-11-29
1396735254 Roberta W Ruggeri Family Medicine 2250 Se Oakgrove Blvd, Suite B, Milwaukie, OR 97267-2659 2005-10-24
1659361517 John C Stiger Family Medicine 15195 Se Thornton Dr, Milwaukie, OR 97267-2551 2005-10-24
1053307645 Jerrold L Snow Family Medicine 6564 Se Lake Rd Ste 200, Milwaukie, OR 97222 2005-09-20
Find all providers in MILWAUKIE

Competitor

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City MILWAUKIE
Zip Code 97222

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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