Provider Demographics
NPI:1750813507
Name:REINHART-MCMILLAN, NADIA (DO)
Entity type:Individual
Prefix:DR
First Name:NADIA
Middle Name:
Last Name:REINHART-MCMILLAN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:NADEZHDA
Other - Middle Name:
Other - Last Name:FISHGAL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NADEZHDA
Mailing Address - Street 1:1 EMBARCADERO CTR STE 1900
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94111-3723
Mailing Address - Country:US
Mailing Address - Phone:415-658-6791
Mailing Address - Fax:
Practice Address - Street 1:20 N SKIDMORE ST
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97217
Practice Address - Country:US
Practice Address - Phone:888-663-6331
Practice Address - Fax:415-252-7176
Is Sole Proprietor?:No
Enumeration Date:2017-03-31
Last Update Date:2025-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORDO200004207Q00000X
IL125.072300207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine