| Renew Therapy Nw Llc | |
|
9400 Sw Beaverton Hillsdale Hwy Ste 204 Beaverton OR 97005-3315 | |
| (503) 446-2024 | |
| Not Available |
| Full Name | Renew Therapy Nw Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 9400 Sw Beaverton Hillsdale Hwy Ste 204, Beaverton, Oregon |
| Authorized Official Name and Position | Jennifer Ann Jim (OWNER) |
| Authorized Official Contact | 5034462024 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Renew Therapy Nw Llc 9400 Sw Beaverton Hillsdale Hwy Ste 250 Beaverton OR 97005-3300 Ph: (503) 446-2024 | Renew Therapy Nw Llc 9400 Sw Beaverton Hillsdale Hwy Ste 204 Beaverton OR 97005-3315 Ph: (503) 446-2024 |
| NPI Number | 1336894880 |
|---|---|
| Provider Enumeration Date | 02/14/2022 |
| Last Update Date | 09/10/2024 |
| Certification Date | 09/10/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336894880 | NPI | - | NPPES |
| 1144535162 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
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