person
Jeffrey C Renna, PAC
Medical Physician Assistant in Salem, Oregon
NPI 1447432190

Jeffrey C Renna is a Medical Physician Assistant based in Salem, OR and is specialized in Medical. Jeffrey C Renna practices in Salem, OR and has the professional credentials of PAC. The NPI Number for Jeffrey C Renna is 1447432190 and holds a License No. PA60133630 (Oregon).

The current practice location address for Jeffrey C Renna is 1610 12Th St Se, Salem, OR and can be reached out via phone at 541-316-6575 and via fax at 541-210-8913.

Location: 1610 12Th St Se, Salem, OR, 97302-2541
person
Provider Profile Details
NPI Number
1447432190
Provider Name
Jeffrey C Renna
Credential
PAC
Provider Entity Type
Individual
Gender
Male
Address
1610 12Th St Se, Salem, OR, 97302-2541
Phone Number
541-316-6575
Fax Number
541-210-8913
Provider Enumeration Date
12/04/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
384377 05 OR
institution
Provider Business Practice Location Address Details
Address
1610 12Th St Se
City
State
Zip
97302-2821
Phone Number
541-316-6575
Fax Number
541-210-8913
person
Provider Business Mailing Address Details
Address
1610 12Th St Se
City
State
Zip
97302-2821
Phone Number
541-316-6575
Fax Number
541-210-8913
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA60133630 (Washington)
Definition
Definition to come...
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