Renaissance Recovery Resources, Inc.
NPI #1124800891 in Lake Oswego, Oregon
Provider Information
- NPI Number
- 1124800891
- Entity Type
- Organization
- Organization Name
- Renaissance Recovery Resources, Inc.
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- RENAISSANCE RECOVERY RESOURCES, INC.
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Oct 18, 2023
- Last Updated
- Dec 15, 2023
Practice Location
- Address
- 5775 JEAN RD STE 104
- City
- Lake Oswego
- State
- Oregon
- ZIP Code
- 97035-5311
- Phone
- (503) 304-4358
Authorized Official
- Name
- JUSTIN SCOTT NIELSEN, CADC II
- Title
- EXECUTIVE DIRECTOR
- Phone
- (503) 304-4358
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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