RENAISSANCE RECOVERY RESOURCES INC. NPI 1124800891

NPI Information

  • NPI: 1124800891
  • Provider Name: RENAISSANCE RECOVERY RESOURCES, INC.
  • Classification: Community/Behavioral Health - 251S00000X
  • Entity Type: Organization
  • Doing Business As: OREGON RECOVERY BEHAVIORAL HEALTH
  • Address: 5775 JEAN RD STE 104
    LAKE OSWEGO, OR
    ZIP 97035
  • Phone: (503) 304-4358

Map and Directions

Get Directions

NPI Details

RENAISSANCE RECOVERY RESOURCES, INC. is a community behavioral health in Lake Oswego, OR. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. RENAISSANCE RECOVERY RESOURCES, INC. NPI is 1124800891. The provider is registered as an organization entity type.
The provider Is Doing Business As Oregon Recovery Behavioral Health.

The provider's business location address is:

5775 JEAN RD STE 104
LAKE OSWEGO, OR
ZIP 97035-311
Phone: (503) 304-4358
Fax: (503) 304-4361

The provider's authorized official is Justin Scott Nielsen .
The authorized official title is Executive Director and has the following contact phone number (503) 304-4358.

The enumeration date for this NPI number is 10/18/2023 and was last updated on 12/15/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251S00000XCommunity/Behavioral HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.