John Wesley Reilly, PHD - Psychologist in Portland, OR

John Wesley Reilly, PHD is a Psychologist - Clinical based in Portland, Oregon. John Wesley Reilly is licensed to practice in Oregon (license number 1173) and his current practice location is 12636 Se Stark, Portland, Oregon. He can be reached at his office (for appointments etc.) via phone at (503) 253-4600.

NPI number for John Wesley Reilly is 1417032954 and his current mailing address is Po Box 82819, Portland, Oregon. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1417032954.

Contact Information

John Wesley Reilly, PHD
12636 Se Stark,
Portland, OR 97233
(503) 253-4600
(503) 253-4609

Map and Direction




Healthcare Provider's Profile

Full NameJohn Wesley Reilly
GenderMale
SpecialityPsychologist - Clinical
Location12636 Se Stark, Portland, Oregon
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1417032954
  • Provider Enumeration Date: 10/25/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for John Wesley Reilly such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417032954NPI-NPPES
068WDBBQKOtherORNUMBER PERSONAL MEDICARE
164936MedicaidOR

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical 1173 (Oregon)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. John Wesley Reilly is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
John Wesley Reilly, PHD
Po Box 82819,
Portland, OR 97282

Ph: (503) 233-5405
John Wesley Reilly, PHD
12636 Se Stark,
Portland, OR 97233

Ph: (503) 253-4600

Reviews and Comments


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