Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Reannon N Dortch

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1336958925

Reannon N Dortch is a Student in an Organized Health Care Education/Training Program in Clearlake, California. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

7000B S Center Dr
Clearlake, CA 95422-8458
Phone: (707) 994-7090
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1336958925
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 7, 2025
Last updated in NPPESMarch 6, 2025
Certification dateMarch 6, 2025

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