NPI 1447653324

Nicolle a Renfro, PAC

Practitioner Physician Assistant Canby, OR

Practice location

Address: 200 S Hazel Dell Way STE 205, Canby, OR 97013-7828
Phone: (503) 405-3700
Mailing address: PO Box 3158, Portland, OR 97208-3158

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PA218913 (OR)

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Registry record

NPI: 1447653324
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 Oct 2014
Record last updated: 28 May 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.