Individual
RENEE ST. MARIE HASHBARGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3231 SE 50TH AVE, PORTLAND, OR 97206-2248
(503) 775-4931
(503) 788-7285
Mailing address
3727 NE MARTIN LUTHER KING JR BLVD, ATTN: CREDENTIALING, PORTLAND, OR 97212-1112
(503) 775-4931
(503) 788-7285
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
200040286
OR
363LF0000X
Family Nurse Practitioner
Primary
200050103
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
028174
—
OR
Enumeration date
06/21/2006
Last updated
11/11/2011
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