Organization
SORRENTO CONSTRUCTION, INC
Active
Other names
Oregon Re-Bath
Organization subpart
No
Provider details
NPI number
Authorized official
PHILLIP J RENGEL (OWNER)
(503) 643-9629
Entity
Organization
Contact information
Practice address
1345 SW 158TH AVE, BEAVERTON, OR 97006-6037
(503) 643-9629
(503) 643-9615
Mailing address
1345 SW 158TH AVE, BEAVERTON, OR 97006-6037
(503) 643-9629
(503) 643-9615
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
6884
OR
Other
Enumeration date
11/11/2010
Last updated
11/11/2010
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