Organization
CAMPUSPSYCH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RENEE DIANE PENNINGTON CNP (OWNER)
(503) 744-7766
Entity
Organization
Contact information
Practice address
4660 NE BELKNAP CT STE 101, HILLSBORO, OR 97124-8402
(503) 744-7766
(503) 744-7767
Mailing address
7710 OAKHILL RD APT F, NORTH ROYALTON, OH 44133-6839
(440) 552-2357
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/10/2018
Last updated
03/10/2018
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