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Individual

HEIDI RENOUD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
5050 COLUMBUS ST SE UNIT 63, ALBANY, OR 97322-8017
(541) 390-0441
Mailing address
5050 COLUMBUS ST SE UNIT 63, ALBANY, OR 97322-8017
(541) 390-0441

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
373H00000X
Day Training/Habilitation Specialist

Other

Enumeration date
06/01/2020
Last updated
06/01/2020
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