Individual
RENEE M PYPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3550 N INTERSTATE AVE, PORTLAND, OR 97227-1196
(503) 331-6440
Mailing address
3550 N INTERSTATE AVE, PORTLAND, OR 97227-1196
(503) 331-6440
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
OR PA00506
OR
Other
Enumeration date
08/22/2006
Last updated
07/08/2007
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