Individual
CAROLINE RENTENAAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
16315 SW BARROWS RD STE 205, BEAVERTON, OR 97007-9461
(503) 521-0500
(503) 521-0503
Mailing address
16083 SW UPPER BOONES FERRY RD, SUITE 300, TIGARD, OR 97224-7736
(800) 219-8835
(503) 639-9699
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
60661
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0329248
WA L&I
OR
05
—
500675884
—
OR
Enumeration date
08/05/2014
Last updated
11/19/2014
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