Individual provider · Type 1 NPI

Renee Lynn Weaver-Myzak, RN, BSN

Registered Nurse · Portland, OR

NPI number 1083938682 Active

Practice location

3716 NE Martin Luther King Jr Blvd
Portland, OR 97212-1111

Fax (503) 288-8168

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X200741712RN (OR)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1083938682

Renee Lynn Weaver-Myzak, RN, BSN's National Provider Identifier is 1083938682, issued on Mar 25, 2010. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Portland, OR. The record was last updated on Mar 25, 2010.