Healthcare Provider Details

I. General information

NPI: 1508035320
Provider Name (Legal Business Name): RENATA FERREIRA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/26/2008
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

890 OAK ST SE
SALEM OR
97301-3905
US

IV. Provider business mailing address

890 OAK ST SE
SALEM OR
97301-3905
US

V. Phone/Fax

Practice location:
  • Phone: 503-814-3335
  • Fax:
Mailing address:
  • Phone: 503-814-3335
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberMD60264619
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberMD218797
License Number StateOR
# 3
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberMED-PHYS-LIC-99462
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: