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MR. REID MACKENZIE BURCH
NPI 1194358127
Student in an Organized Health Care Education/Training Program in Portland, OR

Active since February 18, 2020PECOS Enrolled
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239(503) 703-6187 Get Directions Write a Review

NPPES record last updated: June 28, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mr. Reid Mackenzie Burch NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. REID MACKENZIE BURCH (NPI 1194358127) is an individual student in an organized health care education/training program in Portland, Oregon and active in the NPI registry since February 2020. He is enrolled in Medicare PECOS and is a graduate of Oregon Health Sciences University School Of Medicine (2022).

NPPES Registry Identity

NPI1194358127
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMR. REID MACKENZIE BURCH
Location Address3181 SW SAM JACKSON PARK RDPortland, OR 97239-3011
Mailing Address3181 Sw Sam Jackson Park RdPortland, OR 97239-3011
Phone(503) 703-6187
Sole ProprietorNo
Medical School CMSOregon Health Sciences University School Of MedicineGraduated 2022
Enumeration DateFebruary 18, 2020
Last NPPES UpdateJune 28, 2023
NPPES CertifiedFebruary 18, 2020
✔ NPI 1194358127 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

3181 SW SAM JACKSON PARK RD, Portland, OR 97239
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Reid Mackenzie Burch is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5799165643
PECOS Enrollment IDI20260518000158
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JERRIS ROBERT HEDGES MD, MS, MMM
Emergency Medicine
3181 SW SAM JACKSON PARK RD, # L-102
PORTLAND, OR 97239
Multnomah County (503) 494-2767
DR. BRANDON ZANE HOROWITZ M.D.
Emergency Medicine
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Multnomah County (503) 494-4833
MARY ANN BROWNING FNP
Nurse Practitioner (Family)
3181 SW SAM JACKSON PARK RD, CDW-EM
PORTLAND, OR 97239
Multnomah County (503) 494-7500
DR. MOHAMUD RAMZANALI DAYA MD, M S
Emergency Medicine
3181 SW SAM JACKSON PARK RD, MAILCODE CDW-EM
PORTLAND, OR 97239
Multnomah County (503) 494-7248
DR. ALFREDO SABBAJ MD
Emergency Medicine
3181 SW SAM JACKSON PARK RD, MAIL CODE: CDW-EM
PORTLAND, OR 97239
Multnomah County (503) 494-1475
ROBERT G HENDRICKSON MD
Emergency Medicine (Medical Toxicology)
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Multnomah County (503) 494-9495
DR. JAMES CHRISTOPHER AUSTIN MD
Urology (Pediatric Urology)
3181 SW SAM JACKSON PARK RD, PEDIATRIC UROLOGY CDW-6
PORTLAND, OR 97239
Multnomah County (503) 494-4808
JENNIFER R ANTICK PHD
Psychologist (Clinical)
3181 SW SAM JACKSON PARK RD, UHN 80
PORTLAND, OR 97239
Multnomah County (503) 494-7353

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Reid Burch's NPI number?

The NPI number for Reid Burch is 1194358127. It was assigned to this individual provider in the NPPES registry on February 18, 2020.

Where is Reid Burch located?

Reid Burch practices at 3181 SW Sam Jackson Park Rd, Portland, OR 97239. The listed phone number is (503) 703-6187.

What is Reid Burch's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Reid Burch enrolled in Medicare?

Yes. Reid Burch is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Reid Burch was last updated on June 28, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.