Active NPI
The Ren Clinic
- Health Service Clinic/Center
- Portland, OR
National Provider Identifier
1346783784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- License
- 1983
- Legal business name
- THE REN CLINIC
- Practice address
- 4424 NE Glisan St
Portland, OR 97213-2331 - Phone
- (503) 805-7131
- NPI assigned
- Dec 1, 2016
- Last updated
- Dec 1, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Sara Hopkins, ND, LAC
- Title
- Owner
- Phone
- (503) 805-7131
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | 1983 | OR | Primary |
Addresses
Primary practice location
4424 NE Glisan St
Portland, OR 97213-2331
Mailing address
4062 NE 10TH Ave
Portland, OR 97212-1223
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 38D2126122 | The Ren Clinic | Certificate of waiver | Feb 20, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Portland, OR
- NPI 1790319473
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1480550400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1480550400000",
"number": "1346783784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4062 NE 10TH AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972121223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4424 NE GLISAN ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972132331",
"telephone_number": "503-805-7131"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE REN CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2016-12-01",
"last_updated": "2016-12-01",
"status": "A",
"authorized_official_last_name": "HOPKINS",
"authorized_official_first_name": "SARA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "503-805-7131",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "ND, LAC"
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": "OR",
"license": "1983",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.