JAMES RENNICK

PORTLAND, OR
NPI1578993432
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: OR  C0043)
Enumeration Date2013-11-13
Last Update Date2013-11-13
Business Address
-- JAMES RENNICK
707 NE COUCH ST
PORTLAND, OR 97232-2922
Phone number: 503-542-4603
Mailing Address
-- JAMES RENNICK
707 NE COUCH ST
PORTLAND, OR 97232-2922
Phone number: 503-542-4603