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MARY RENNEBOHM
NPI 1912517459
Counselor in Canby, OR

Active since August 07, 2020
703 SE 1ST AVE, CANBY, OR 97013(503) 266-7686(503) 266-7382 Get Directions Write a Review

NPPES record last updated: August 7, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mary Rennebohm NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY RENNEBOHM (NPI 1912517459) is an individual counselor in Canby, Oregon, licensed in Oregon (527846) and active in the NPI registry since August 2020.

NPPES Registry Identity

NPI1912517459
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameMARY RENNEBOHM
Location Address703 SE 1ST AVECanby, OR 97013-3849
Mailing Address703 Se 1st AveCanby, OR 97013-3849 · (503) 266-7686 · Fax (503) 266-7382
Phone(503) 266-7686
Fax(503) 266-7382
Sole ProprietorNo
Enumeration DateAugust 7, 2020
NPPES CertifiedAugust 7, 2020
✔ NPI 1912517459 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in OR · 527846
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
703 SE 1ST AVE, Canby, OR 97013
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Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. JOHN MICHAEL RICHARDS N.P.
Nurse Practitioner (Adult Health)
703 SE 1ST AVE
CANBY, OR 97013
Clackamas County (503) 266-7686
CANBY HEALTHCARE CLINIC LLC
Clinic/Center (Primary Care)
703 SE 1ST AVE
CANBY, OR 97013
Clackamas County (503) 266-7686
CANBY HEALTHCARE CLINIC LLC
Clinic/Center (Rural Health)
703 SE 1ST AVE
CANBY, OR 97013
Clackamas County (503) 266-7686
JONATHAN ELDREDGE
Behavior Technician
703 SE 1ST AVE
CANBY, OR 97013
Clackamas County (503) 266-7686
ABIGAIL NELSON FNP-C
Nurse Practitioner (Family)
703 SE 1ST AVE
CANBY, OR 97013
Clackamas County (503) 266-7686
LAURA OBIORA
Family Medicine
703 SE 1ST AVE
CANBY, OR 97013
Clackamas County (503) 266-7686

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Rennebohm's NPI number?

The NPI number for Mary Rennebohm is 1912517459. It was assigned to this individual provider in the NPPES registry on August 7, 2020.

Where is Mary Rennebohm located?

Mary Rennebohm practices at 703 SE 1st Ave, Canby, OR 97013. The listed phone number is (503) 266-7686.

What is Mary Rennebohm's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Mary Rennebohm was last updated on August 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.