| NPI | 1336894880 |
|---|---|
| Other Name | RENEW THERAPY NW LLC |
| Entity Type | Organization |
| Authorized Contact | JENNIFER ANN JIM Owner 503-446-2024 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2022-02-14 |
| Last Update Date | 2024-09-10 |