<Unavail>
LBN: Renew Therapy Nw
<Unavail> is an health care organization with primary practice located at 9400 Sw Beaverton Hillsdale Hwy Ste 204 , Beaverton OR 97005-3315. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Ambulatory Health Care Facilities / Adult Mental Health. Behavioral Health & Social Service Providers / Professional is the primary health care specialty.
Renew Therapy Nw can be contacted via phone (503) 446-2024, or through Jim, Jennifer Ann via phone (503) 446-2024.
Contact Information
Primary practice address
9400 Sw Beaverton Hillsdale Hwy Ste 204
Beaverton OR 97005-3315
Phone: (503) 446-2024
Fax:
Website:
Authorized official contact:
Name: Jim, Jennifer Ann Licensed Professional Counselor (LPC)
Phone: (503) 446-2024
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | ||
| Ambulatory Health Care Facilities / Adult Mental Health | 261QM0850X |
Profile Details
| NPI number | 1336894880 |
|---|---|
| LBN Legal business name | Renew Therapy Nw |
| DBA Doing business as | <Unavail> |
| Authorized official | Jim, Jennifer Ann Licensed Professional Counselor (LPC) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 14th, 2022 |
| Last updated | Sep 10th, 2024 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336894880 | NPPES |
| Oregon | MEDICAID | 1144535162 |
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