Dversdal, Renee K

Dversdal, Renee K is an individual health care provider with primary practice located at 3181 Sw Sam Jackson Park Rd Bte119 Ohsu,, Portland OR 97239-3098. She recently has only one registered license in Allopathic & Osteopathic Physicians / Hospitalist, which is considered as her primary health care specialty. Dversdal, Renee K can be contacted via phone (503) 494-8311.

Contact Information

Primary practice address
3181 Sw Sam Jackson Park Rd Bte119 Ohsu, Portland OR 97239-3098
Phone: (503) 494-8311
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X MD157331 Oregon

Profile Details

NPI number 1164659637
LBN Legal business name Dversdal, Renee K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2009
Last updated Aug 7th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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