Individual
MS. SHANNON MARIE RENTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
OREGON HEALTH & SCIENCES UNIVERSITY, MAIL CODE UHS 18, 3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3098
(503) 494-8636
(503) 494-3769
Mailing address
2333 SE CLEVELAND AVE, GRESHAM, OR 97080-6380
(503) 494-8636
(503) 494-3769
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
579
OR
Other
Enumeration date
02/13/2007
Last updated
07/08/2007
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