Provider Demographics
NPI:1265904767
Name:ARREOLA, RENEE (RN)
Entity type:Individual
Prefix:
First Name:RENEE
Middle Name:
Last Name:ARREOLA
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4780 VILLAGE PLAZA LOOP STE 200
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97401-6624
Mailing Address - Country:US
Mailing Address - Phone:541-306-3173
Mailing Address - Fax:541-208-5419
Practice Address - Street 1:4780 VILLAGE PLAZA LOOP STE 200
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401-6624
Practice Address - Country:US
Practice Address - Phone:541-306-3173
Practice Address - Fax:541-208-5419
Is Sole Proprietor?:No
Enumeration Date:2018-12-20
Last Update Date:2024-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR201604898RN163WP0807X
OR10030766363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163WP0807XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Child & Adolescent