NPI 1902566805
Renaissance Recovery Resources, INC.
Practice location
- Address
- 695 SE 1st Ave, Canby, OR 97013-3848
- Phone
- (503) 304-4358
- Fax
- (503) 304-4361
- Mailing address
- PO Box 20674, Keizer, OR 97307-0674
Authorised official
- Name
- Justin Scott Nielsen
- Title
- Executive Director
- Phone
- (503) 304-4358
Registered specialties
Community/Behavioral Health Agency
Primary
Registry record
- NPI
- 1902566805
- Entity type
- Organization
- NPI issued
- 20 Dec 2021
- Record last updated
- 15 Dec 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.