NPIMap

Organization Active NPI

Renew Consulting, Inc.

  • Mental Illness Community Based Residential Treatment Facility
  • Portland, OR
National Provider Identifier
1558606384
Registry record updated Dec 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
200017 Issued in OR
Legal business name
RENEW CONSULTING, INC.
Practice address
12810 SW 62ND Ave
Portland, OR 97219-8034
Phone
(503) 851-8219
Fax
(541) 981-2127
NPI assigned
Dec 5, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kathy R Aronson
Title
President
Phone
(503) 851-8219

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X 200017 OR Primary

Addresses

Primary practice location

12810 SW 62ND Ave
Portland, OR 97219-8034

Mailing address

808 Old Salem Rd NE
Albany, OR 97321-4539
Phone (503) 851-8219

Other identifiers 1

IdentifierTypeStateIssuer
500632114MedicaidOR

National Provider Directory

National Provider Directory
Tax ID family
Renew Consulting Inc10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1354665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354665600000",
    "number": "1558606384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 OLD SALEM RD NE",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973214539",
            "telephone_number": "503-851-8219",
            "fax_number": "541-981-2127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12810 SW 62ND AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972198034",
            "telephone_number": "503-851-8219",
            "fax_number": "541-981-2127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEW CONSULTING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-05",
        "last_updated": "2012-12-05",
        "status": "A",
        "authorized_official_last_name": "ARONSON",
        "authorized_official_first_name": "KATHY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-851-8219"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "OR",
            "license": "200017",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500632114",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.