| NPI | 1063777415 |
|---|---|
| Other Name | RENEW CLINIC & SPA |
| Entity Type | Organization |
| Authorized Contact | JOANNE ENGEL KORT Certified Nurse Practitioner 503-269-3495 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: OR MD18043) |
| Enumeration Date | 2012-07-11 |
| Last Update Date | 2023-03-07 |