Organization · Type 2 NPI

Renaissance Recovery Resources, Inc.

Community/Behavioral Health Agency · Lake Oswego, OR

NPI number 1124800891 Active

Practice location

5775 Jean Rd Ste 104
Lake Oswego, OR 97035-5311

Call (503) 304-4358 Map

Fax (503) 304-4361

Mailing address

PO Box 20674
Keizer, OR 97307-0674

Specialties and licenses

Taxonomy	Code	License
Community/Behavioral Health Agency Primary	251S00000X	None listed

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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NPI record

NPI: 1124800891
Entity type: Organization (Type 2)
Issued: Oct 18, 2023
Last updated: Dec 15, 2023
Status: Active
Subpart: Yes of Renaissance Recovery Resources, Inc.

Other names

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Oregon Recovery Behavioral Health · doing business as
Oregon Recovery Behavioral Health · doing business as

Authorized official

Justin Scott Nielsen, CADC II
Executive Director
(503) 304-4358

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1124800891

Renaissance Recovery Resources, Inc.'s National Provider Identifier is 1124800891, issued on Oct 18, 2023. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Lake Oswego, OR. The record was last updated on Dec 15, 2023.