Individual
MRS. RACHEL ANN RENICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.A.
Contact information
Practice address
12441 SE STARK ST, PORTLAND, OR 97233-1053
(877) 554-3120
(360) 816-1716
Mailing address
12441 SE STARK ST, PORTLAND, OR 97233-1053
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
OR
174400000X
Specialist
—
—
Other
Enumeration date
08/05/2008
Last updated
08/05/2008
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