Renner, Laura E

Renner, Laura E is an individual health care provider with primary practice located at 300 N Graham St , Portland OR 97227-1683. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Renner, Laura E can be contacted via phone (503) 413-4134.

Contact Information

Primary practice address
300 N Graham St Portland OR 97227-1683
Phone: (503) 413-4134
Fax: (503) 413-1895
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 000033925N3 Oregon

Profile Details

NPI number 1871545731
LBN Legal business name Renner, Laura E
Credentials Adult Nurse Practitioner (ANP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Jul 8th, 2007 - about 19 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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Identifiers

StateTypeNumberIssuer
All States NPI 1871545731 NPPES
Other 500003758 RR PIN #
MEDICAID 77206 RR PIN #

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