Individual
KATHLEEN CARR RENTENBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
3550 N INTERSTATE AVE, PORTLAND, OR 97227-1196
(503) 335-2634
Mailing address
3635 SE 69TH AVE, PORTLAND, OR 97206-2649
(503) 777-2833
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
AP30002246
WA
363LW0102X
Women's Health Nurse Practitioner
Primary
OR 090006549N7
OR
Other
Enumeration date
03/17/2007
Last updated
07/08/2007
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