Mr. Ricco Cory Reynolds

FNP-C | Nurse Practitioner

3181 Sw Sam Jackson Park Rd, Portland
  Oregon, 97239-3011
503-494-8311
May or may not accept Medicare Nurse Anesthetist in Portland, Oregon.
Mr. Ricco Cory Reynolds is a Portland, Oregon based nurse practitioner. Active license number of Mr. Ricco Cory Reynolds is 202213334NP-PP for Family 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 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 NumberSpecializationStateStatus
202213334NP-PPFamily OregonPrimary
Specialist/Technologist Secondary
API61363661Family WashingtonSecondary
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.
IdentifierTypeStateIssuer
202213334NP-PPOtherOregonOREGON STATE BOARD OF NURSING
AP61363661OtherWashingtonWASHINGTON 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:

Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.