Mr. Ricco Cory Reynolds
FNP-C | Nurse Practitioner
3181 Sw Sam Jackson Park Rd, Portland
Oregon, 97239-3011
503-494-8311
Mr. Ricco Cory Reynolds is a Portland, Oregon based nurse practitioner who is specialized as Nurse Practitioner. Active license number of Mr. Ricco Cory Reynolds is 202213334NP-PP for Family NP in Oregon. His current practice location is 3181 Sw Sam Jackson Park Rd, Portland. Patients can reach him at 503-494-8311. Mr. Ricco Cory Reynolds is FNP-C with specialization in Nurse Practitioner and his NPI number (Unique professional ID assigned by NPPES) is 1205435997.
Mr. Ricco Cory Reynolds has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Mr. Ricco Cory Reynolds speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Mr. Ricco Cory Reynolds |
| Specialization: | Nurse Practitioner (NP) |
| Gender: | Male |
| Credentials: | FNP-C |
| Practice Address: | 3181 Sw Sam Jackson Park Rd, Portland,
Oregon, 97239-3011 |
| Phone: | 503-494-8311 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1205435997 |
| NPI Enumeration Date: | 22 Oct, 2020 |
| NPI Last Update On: | 26 Oct, 2022 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Ricco Cory Reynolds are as mentioned below.
| License Number | Specialization | State | Status | |
| 202213334NP-PP | Family NP | Oregon | Primary | |
| Specialist/Technologist | | Secondary | |
| API61363661 | Family NP | Washington | Secondary | |
| Student in an Organized Health Care Education/Training Program | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Mr. Ricco Cory Reynolds such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 202213334NP-PP | Other | Oregon | OREGON STATE BOARD OF NURSING |
| AP61363661 | Other | Washington | WASHINGTON DEPARTMENT OF HEALTH |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Mr. Ricco Cory Reynolds
3181 Sw Sam Jackson Park Rd,
Portland, Oregon |
| Zip: | 97239-3011 |
| Phone Number: | 503-494-8311 |
Patients can reach Mr. Ricco Cory Reynolds at
3181 Sw Sam Jackson Park Rd, Portland, Oregon or can
call to book an appointment on 503-494-8311.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.