Individual
MRS. RENATA ANDERSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Contact information
Practice address
2237 SW COURT AVE, PENDLETON, OR 97801-1896
(541) 276-5053
(541) 276-5112
Mailing address
2237 SW COURT AVE, PENDLETON, OR 97801-1896
(541) 276-5053
(541) 276-5112
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
HAS-P-027200
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102368
—
OR
Enumeration date
06/15/2006
Last updated
04/30/2018
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