Individual
BRONSON NERENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9205 SW BARNES RD, PORTLAND, OR 97225-6603
(503) 216-1234
Mailing address
9205 SW BARNES RD, PORTLAND, OR 97225-6603
(503) 216-1234
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
202002653RN
OR
363LA2100X
Acute Care Nurse Practitioner
Primary
10029069
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/06/2024
Last updated
07/08/2024
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