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RENDER CREATIVE SPACE LLC NPI 1861017733


NPI Information

NPI: 1861017733
Provider Name: RENDER CREATIVE SPACE LLC

Doing Business As: RENDER: A CREATIVE SPACE FOR HEALTH & WELLNESS

Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
1250 NW KEARNEY
#1212
PORTLAND, OR
ZIP 97209
Phone: (503) 210-1646
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RENDER CREATIVE SPACE LLC is a mental health counselor in Portland, OR. RENDER CREATIVE SPACE LLC NPI is 1861017733. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Render: A Creative Space For Health & Wellness.

The provider's business location address is:

1250 NW KEARNEY
#1212
PORTLAND, OR
ZIP 97209-720
Phone: (503) 210-1646

The provider's authorized official is Drew Smith .
The authorized official title is Owner and has the following contact phone number (503) 210-1646.

The enumeration date for this NPI number is 6/16/2020 and was last updated on 6/25/2021.


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
1101YM0800XCounselorMental HealthYes

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
11578030631MEDICAIDOREGON

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: 11/14/2023

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.