Rensch, Jerry Allen
Rensch, Jerry Allen is an individual health care provider with primary practice located at 4707 Ne Tillamook St , Portland OR 97213-2057. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Rensch, Jerry Allen can be contacted via phone (502) 287-9710.Contact Information
Primary practice address
4707 Ne Tillamook St
Portland OR 97213-2057
Phone: (502) 287-9710
Fax: (503) 281-7098
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 4266 | Oregon |
Profile Details
| NPI number | 1639176654 |
|---|---|
| LBN Legal business name | Rensch, Jerry Allen |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 5th, 2005 |
| Last updated | Jul 8th, 2007 - about 17 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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