| Rinnovare Laser and Wellness | |
|
23479 Se Stark St Gresham OR 97030-2962 | |
| (503) 667-9300 | |
| (503) 667-4975 |
| Full Name | Rinnovare Laser and Wellness |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 23479 Se Stark St, Gresham, Oregon |
| Authorized Official Name and Position | Heidi a Walter (OFFICE MANAGER) |
| Authorized Official Contact | 5036679300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rinnovare Laser and Wellness 23479 Se Stark St Gresham OR 97030-2962 Ph: (503) 667-9300 | Rinnovare Laser and Wellness 23479 Se Stark St Gresham OR 97030-2962 Ph: (503) 667-9300 |
| NPI Number | 1306003645 |
|---|---|
| Provider Enumeration Date | 05/22/2008 |
| Last Update Date | 05/22/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306003645 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | 23982 (Oregon) | Primary |
| 111N00000X | Chiropractor | 3026 (Oregon) | Secondary |
| 175F00000X | Naturopath | 0932 (Oregon) | Secondary |
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