Dr. Laura Renteria, PC

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

2686 Issued in OR

Legal business name

DR. LAURA RENTERIA, PC

Practice address

14631 SW Millikan Way
Beaverton, OR 97003-2999

Phone

(971) 330-7352

NPI assigned

Nov 22, 2016

Organization subpart

No

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

Authorized official

Name

Laura Renteria, PHDNPI 1205046422

Title

Owner

Phone

(971) 330-7352

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Tax ID family

Dr Laura Renteria PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Dr. Laura Renteria, PC

  • Clinical Neuropsychologist
  • Chicago, IL
  • NPI 1710365127
  NPD tax ID

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Laura Renteria, PH.D.

  • Clinical Neuropsychologist
  • Beaverton, OR
  • NPI 1205046422
  Medicare reassignment Care Compare group NPD Authorized official
• Haley Gail Trontel, PH.D.

  • Psychologist
  • Portland, OR
  • NPI 1538582903
  Medicare reassignment Care Compare group NPD
• Natasha White, PHD

  • Psychologist
  • Portland, OR
  • NPI 1194197640
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1479772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479772800000",
    "number": "1952844979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14631 SW MILLIKAN WAY",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970032999",
            "telephone_number": "971-330-7352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14631 SW MILLIKAN WAY",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970032999",
            "telephone_number": "971-330-7352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. LAURA RENTERIA, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-22",
        "last_updated": "2016-11-22",
        "status": "A",
        "authorized_official_last_name": "RENTERIA",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "971-330-7352",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "OR",
            "license": "2686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Neuropsychologist in Beaverton, OR
• Providers in Beaverton, OR by specialty
• Clinical Neuropsychologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.