Organization
DR. LAURA RENTERIA, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA RENTERIA PHD (OWNER)
(971) 330-7352
Entity
Organization
Contact information
Practice address
14631 SW MILLIKAN WAY, BEAVERTON, OR 97003-2999
(971) 330-7352
Mailing address
14631 SW MILLIKAN WAY, BEAVERTON, OR 97003-2999
(971) 330-7352
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
2686
OR
Other
Enumeration date
11/22/2016
Last updated
11/22/2016
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