Search › Oregon › 363AM0700X
Jeffrey Renna, PAC
NPI 1447432190 · on the registry since 2007
Practice
- Address
- 1011 Commercial St Ne Ste 110
Salem, OR 97301 - Phone
- (503) 983-9900
- Fax
- (503) 983-9899
- Organisation at this address
- Confederated Tribes Of Grand Ronde Community Of Oregon
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 36
Registry record
- Primary taxonomy
- 363AM0700X
363AM0700X
- Also registered as
- 363AM0700X
- Licence states on file
- OR, WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-11-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon