Individual
ELLYSE RENEE RENGSTORF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19245 7TH AVE NE, POULSBO, WA 98370-6551
(360) 782-3501
(360) 782-3540
Mailing address
9621 RIDGETOP BLVD NW, SILVERDALE, WA 98383-8502
(360) 782-3600
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD61074527
WA
Other
Enumeration date
03/31/2017
Last updated
08/01/2023
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