# RENEW FUNCTIONAL HEALTH

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063088128
- **Authorized official:** DR. ERICHA CLARE ND (CLINICIAN)
- **Authorized official phone:** (503) 709-4237

## Contact information

- **Practice address:** 14631 SW MILLIKAN WAY STE 4, BEAVERTON, OR 97003-2999
- **Practice address phone:** (503) 567-7890
- **Practice address fax:** (971) 228-5443
- **Mailing address:** 16331 SE VINEYARD LN APT 4, PORTLAND, OR 97267-4722
- **Mailing address phone:** (503) 709-4237
- **Mailing address fax:** (971) 228-5443

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | — | NULL | — |
| 171100000X | Acupuncturist | — | — | — |
| 171400000X | Health & Wellness Coach | — | NULL | — |
| 171400000X | Health & Wellness Coach | — | — | — |
| 175F00000X | Naturopath | — | NULL | Yes |
| 175F00000X | Naturopath | — | — | Yes |

## Other

- **Enumeration date:** 05/31/2021
- **Last updated:** 05/31/2021