NPI 1063777415

Renew Healthcare LLC

Organisation Health Maintenance Organization Lincoln City, OR

Practice location

Address: 2937 NW Highway 101 Suite 110, Lincoln City, OR 97367-4442
Phone: (541) 614-0314
Mailing address: PO Box 827, Neotsu, OR 97364-0827

Authorised official

Name: Joanne Engel Kort
Title: Certified Nurse Practitioner
Phone: (503) 269-3495

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X Licence MD18043 (OR)

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Registry record

NPI: 1063777415
Entity type: Organization
NPI issued: 11 Jul 2012
Record last updated: 7 Mar 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.