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RENEW THERAPY NW NPI 1336894880


NPI Information

NPI: 1336894880
Provider Name: RENEW THERAPY NW

Other Name: RENEW THERAPY NW LLC

Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
7451 SW BEAVERTON HILLSDALE HWY
STE 204
PORTLAND, OR
ZIP 97225
Phone: (503) 446-2024
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RENEW THERAPY NW is a professional counselor in Portland, OR. RENEW THERAPY NW NPI is 1336894880. The provider is registered as an organization entity type.
The provider Other Name Is Renew Therapy Nw Llc.

The provider's business location address is:

7451 SW BEAVERTON HILLSDALE HWY
STE 204
PORTLAND, OR
ZIP 97225
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 2/9/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM0850XClinic/CenterAdult Mental HealthNo
2101YP2500XCounselorProfessionalYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther 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: 4/28/2024

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.