Provider Demographics
NPI:1437298643
Name:REED, STEPHEN NEIL (O,D)
Entity Type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:NEIL
Last Name:REED
Suffix:
Gender:M
Credentials:O,D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:519 SE 100TH AVE
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98664-4016
Mailing Address - Country:US
Mailing Address - Phone:360-521-8066
Mailing Address - Fax:
Practice Address - Street 1:1260 LLOYD CTR
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97232-1301
Practice Address - Country:US
Practice Address - Phone:503-528-3268
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR2023T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist