Individual
RENEE MARIE OLDHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
722 NE 162ND AVE, PORTLAND, OR 97230-5760
(503) 408-5016
(503) 255-5094
Mailing address
3940 NW 148TH PL, PORTLAND, OR 97229-0978
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
201041718RN
OR
Other
Enumeration date
06/21/2013
Last updated
06/21/2013
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