Search › Oregon › 207ZP0102X
Reva Ricketts-Loriaux, D.O
NPI 1508044595 · on the registry since 2008
Practice
- Address
- 13705 Ne Airport Way Ste C
Portland, OR 97230 - Phone
- (503) 259-6820
- Organisation at this address
- Kaiser Foundation Health Plan Of The Northwest
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 27
Registry record
- Primary taxonomy
- 207ZP0102X
207ZP0102X
- Also registered as
- 207ZP0102X
- Licence states on file
- WA, OR
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-06-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon