Perkins, Renee L

Perkins, Renee L is an individual health care provider with primary practice located at 355 Nw Division St , Gresham OR 97030-5523. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Perkins, Renee L can be contacted via phone (971) 225-6695.

Contact Information

Primary practice address
355 Nw Division St Gresham OR 97030-5523
Phone: (971) 225-6695
Fax: (503) 231-1654
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X G21-01-07 Oregon
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 25-04-20563 Oregon

Profile Details

NPI number 1619412582
LBN Legal business name Perkins, Renee L
Credentials CADC II/CGAC I
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 30th, 2016
Last updated Apr 22nd, 2025 - about last year

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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1619412582 NPPES
Oregon MEDICAID 500718989

Popular Providers