Provider Demographics
NPI:1508285578
Name:REICHERT, AURA (MS)
Entity Type:Individual
Prefix:MRS
First Name:AURA
Middle Name:
Last Name:REICHERT
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:426 S OAKDALE AVE
Mailing Address - Street 2:
Mailing Address - City:MEDFORD
Mailing Address - State:OR
Mailing Address - Zip Code:97501-3524
Mailing Address - Country:US
Mailing Address - Phone:541-591-6076
Mailing Address - Fax:
Practice Address - Street 1:426 S OAKDALE AVE
Practice Address - Street 2:
Practice Address - City:MEDFORD
Practice Address - State:OR
Practice Address - Zip Code:97501-3524
Practice Address - Country:US
Practice Address - Phone:541-591-6076
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-07
Last Update Date:2014-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist