BROOKE REAVIS
Nurse Practitioner
Active
Individual
NPI: 1487333928
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Nurse Practitioner | 363L00000X | Yes | 10010750 (OR) |
Frequently Asked Questions
NPI 1487333928 is the National Provider Identifier for BROOKE REAVIS, a Nurse Practitioner provider located in Salem, OR. This NPI was enumerated on July 12, 2023.
BROOKE REAVIS practices at 1015 3RD ST NW, Salem, OR 97304.
Quick Facts
- NPI
- 1487333928
- Type
- Individual
- Enumerated
- Jul 12, 2023
- Last Updated
- Jul 17, 2023
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