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1740611557
MATTHEW STEVEN RENNER
OLYMPIA, WA
NPI
1740611557
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: WA PA60755013)
Enumeration Date
2013-12-03
Last Update Date
2017-12-01
Business Address
MATTHEW STEVEN RENNER PA-C
615 LILLY RD NE STE 220
OLYMPIA, WA 98506-5137
Phone number: 360-486-6150
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Mailing Address
MATTHEW STEVEN RENNER PA-C
PO BOX 3360
PORTLAND, OR 97208-3360
Phone number:
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