| Doctor Name: | DR. RYAN F REESE |
| NPI Number: | 1013202290 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PHD |
| License Number: | R2951 |
| Business Practice Address: | 745 Nw Mt Washington Dr Suite 306 Bend, OR - 977011574 |
| Business Phone Number: | 5412416575 |
| Business Fax Number: | |
| Mailing Address: | 745 Nw Mt Washington Dr, Suite 306 BEND |
| State: | OR |
| Postal Code: | 977011574 |
| Phone Number: | 5412416575 |
| Fax Number: | |
| NPI Enumeration Date: | 06/15/2011 |
| NPI Last Update Date: | 11/22/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | R2951 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OR |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |