Individual
RENSKE ELVIRA ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
2521 BOONE RD SE STE 100, SALEM, OR 97306-9391
(503) 585-5131
(503) 585-4065
Mailing address
685 36TH AVE NE, SALEM, OR 97301-4741
(503) 540-8701
(503) 371-8772
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3834
OR
Other
Enumeration date
12/21/2006
Last updated
04/05/2018
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