| Doctor Name: | DR. SUSAN KAREN REICHERT |
| NPI Number: | 1003019456 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | 16007 |
| Business Practice Address: | 125 Nw Greeley Ave Bend, OR - 977012913 |
| Business Phone Number: | 5414198743 |
| Business Fax Number: | |
| Mailing Address: | 125 Nw Greeley Ave, BEND |
| State: | OR |
| Postal Code: | 977012913 |
| Phone Number: | 5414198743 |
| Fax Number: | |
| NPI Enumeration Date: | 06/05/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 204D00000X |
| License Number: | 16007 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | OR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Neuromusculoskeletal Medicine & OMM |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |