Doctor Name: | DR. RENEE CAROLE MINJAREZ |
NPI Number: | 1639373277 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | LL16254 |
Business Practice Address: | 1135 116th Ave Ne Suite 305 Bellevue, WA - 980044623 |
Business Phone Number: | 4254531772 |
Business Fax Number: | 4254530603 |
Mailing Address: | 1135 116th Ave Ne, Suite 305 BELLEVUE |
State: | WA |
Postal Code: | 980044623 |
Phone Number: | 2065925000 |
Fax Number: | 2068249510 |
NPI Enumeration Date: | 06/14/2007 |
NPI Last Update Date: | 03/03/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | LL16254 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OR |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |