Individual
DR. RENATA A HENNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
88267 N TERRITORIAL RD, SUITE 5, VENETA, OR 97487-9499
(541) 935-3777
(541) 935-2412
Mailing address
PO BOX 538, MAPLETON, OR 97453-0538
(541) 935-3777
(541) 935-2412
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
27-2803
OR
Other
Enumeration date
06/30/2005
Last updated
07/08/2007
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