Kathleen Carr Rentenbach, N.P.

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

OR 090006549N7 Issued in OR

Practice address

3550 N Interstate Ave
Portland, OR 97227-1196

Phone

(503) 335-2634

NPI assigned

Mar 17, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Kathleen Ellen Carr Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932223864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3635 SE 69TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972062649",
            "telephone_number": "503-777-2833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3550 N INTERSTATE AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972271196",
            "telephone_number": "503-335-2634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENTENBACH",
        "first_name": "KATHLEEN",
        "middle_name": "CARR",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "OR",
            "license": "OR 090006549N7",
            "primary": true
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "WA",
            "license": "AP30002246",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHLEEN",
            "last_name": "CARR",
            "middle_name": "ELLEN",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Hillary June Reno, LCSW, CADC III, MAC
• Douglas E Renouard, MD
• Emily Rens
• Jerry Allen Rensch, D.M.D.
• Keila Rentas Centeno
• Aimee Nicole Renteria, LMT, CA
• Matthew Renteria, PT, DPT
• Elsa Renthal, RN
• Jill Marie Renton, DMD
• Lindsay F Rentschler, M.A., BCBA

• Women's Health Nurse Practitioner in Portland, OR
• Providers in Portland, OR by specialty
• Women's Health Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.