Oregon Recovery Behavioral Health

LBN: Renaissance Recovery Resources, Inc.
Oregon Recovery Behavioral Health is an health care organization with primary practice located at 695 Se 1St Ave , Canby OR 97013-3848. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Renaissance Recovery Resources, Inc. can be contacted via phone (503) 304-4358, or through Nielsen, Justin Scott via phone (503) 304-4358.

Contact Information

Primary practice address
695 Se 1St Ave Canby OR 97013-3848
Fax: (503) 304-4361
Website:
Authorized official contact:
Name: Nielsen, Justin Scott CADC II

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1902566805
LBN Legal business name Renaissance Recovery Resources, Inc.
DBA Doing business as Oregon Recovery Behavioral Health
Authorized official Nielsen, Justin Scott CADC II
Entity Organization
Organization subpart 1 Yes
Enumeration date Dec 20th, 2021
Last updated Dec 15th, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902566805 NPPES
Oregon MEDICAID 182192

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