Individual
RENEE CHANTELLE MERRILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
625 9TH AVE STE 210, LONGVIEW, WA 98632-2465
(360) 501-3400
Mailing address
625 9TH AVE STE 210, LONGVIEW, WA 98632-2465
(360) 501-3400
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
10/24/2023
Last updated
01/28/2026
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