Individual
JADE RENCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
925 SENECA ST, SEATTLE, WA 98101-2742
(208) 716-4721
Mailing address
12316 SE 64TH CT APT 2, MILWAUKIE, OR 97222-2987
(208) 716-4721
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/27/2024
Last updated
03/27/2024
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