Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mary Rennebohm

Individual provider Counselor · NPI 1912517459

Mary Rennebohm is a Counselor in Canby, Oregon. Licensed in Oregon. Registered with an NPI since 2020.

Licensed in
OR
In the registry since
2020

Practice location Address checks out

703 SE 1st Ave
Canby, OR 97013-3849
Phone: (503) 266-7686
Fax: (503) 266-7382
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence 527846 (OR)

Record details

NPI number1912517459
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 7, 2020
Last updated in NPPESAugust 7, 2020
Certification dateAugust 7, 2020
Mailing address703 Se 1st Ave, Canby, OR 97013-3849

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