Individual
RENEE HOLMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1121 NE 2ND AVE, PORTLAND, OR 97232-2043
(503) 731-8620
Mailing address
7222 SW SCHOLLS FERRY RD, APT 2, BEAVERTON, OR 97008-4067
(503) 475-0242
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
201130152LPN
OR
Other
Enumeration date
09/26/2012
Last updated
09/26/2012
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