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

Mrs. Rachel Ann Renick, OTA

Individual provider Specialist · NPI 1194981464

Mrs. Rachel Ann Renick, OTA is a Specialist in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2008.

Licensed in
OR
In the registry since
2008
Specialties on file
2
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Practice location Address checks out

12441 SE Stark St
Portland, OR 97233-1053
Phone: (877) 554-3120
Fax: (360) 816-1716
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X (OR)
Specialist Taxonomy 174400000X

Record details

NPI number1194981464
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTA
Sole proprietorNo
NPI enumeratedAugust 5, 2008
Last updated in NPPESAugust 5, 2008

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