Provider Demographics
NPI:1669031894
Name:REED, JORDAN RUTH
Entity type:Individual
Prefix:
First Name:JORDAN
Middle Name:RUTH
Last Name:REED
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:56249 BUFFLEHEAD RD
Mailing Address - Street 2:
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97707-2102
Mailing Address - Country:US
Mailing Address - Phone:610-306-7054
Mailing Address - Fax:
Practice Address - Street 1:44 WESTGATE RD
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28806-3023
Practice Address - Country:US
Practice Address - Phone:610-306-7054
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-11
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst