Individual
MS. RENEE AILEEN FIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6333 NE HASSALO ST, PORTLAND, OR 97213-4922
(503) 960-3206
Mailing address
6333 NE HASSALO ST, PORTLAND, OR 97213-4922
(503) 960-3206
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
18323
OR
Other
Enumeration date
08/11/2011
Last updated
12/13/2012
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