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Individual

MRS. RENEE DENISE STORM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
1309 NE 134TH ST STE B, VANCOUVER, WA 98685-2704
(503) 467-6589
(571) 368-5192
Mailing address
1410 NW KEARNEY ST APT 921, PORTLAND, OR 97209-2770
(503) 467-6589

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
202110572NP-PP
OR
363LA2100X
Acute Care Nurse Practitioner
Primary
AP61243325
WA
363LG0600X
Gerontology Nurse Practitioner
202110572NP-PP
OR

Other

Enumeration date
09/27/2021
Last updated
03/11/2024
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