Individual
RENEE TATANYA CRAVEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7912 SE 52ND AVE, PORTLAND, OR 97206-9122
(971) 275-0212
Mailing address
10180 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-8970
(503) 813-2000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
201391047RN
OR
Other
Enumeration date
08/02/2025
Last updated
08/02/2025
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