RENEW THERAPY NW NPI 1336894880

NPI Information

  • NPI: 1336894880
  • Provider Name: RENEW THERAPY NW
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Organization
  • Other Name: RENEW THERAPY NW LLC
  • Address: 9400 SW BEAVERTON HILLSDALE HWY STE 204
    BEAVERTON, OR
    ZIP 97005
  • Phone: (503) 446-2024

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NPI Details

RENEW THERAPY NW is a professional counselor in Beaverton, OR. RENEW THERAPY NW NPI is 1336894880. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Renew Therapy Nw Llc.

The provider's business location address is:

9400 SW BEAVERTON HILLSDALE HWY STE 204
BEAVERTON, OR
ZIP 97005-315
Phone: (503) 446-2024

The provider's authorized official is Jennifer Ann Jim .
The authorized official title is Owner and has the following contact phone number (503) 446-2024.

The enumeration date for this NPI number is 2/14/2022 and was last updated on 9/10/2024.

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
1101YP2500XCounselorProfessionalYes
2261QM0850XClinic/CenterAdult Mental HealthNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11144535162MEDICAIDOREGON

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: 11/21/2025

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