Individual
RENEE C PECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
QMHA-R
Contact information
Practice address
676 NE MAPLE AVE, REDMOND, OR 97756-8527
(541) 504-9577
Mailing address
PO BOX 1710, REDMOND, OR 97756-0516
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/23/2024
Last updated
10/23/2024
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