# STAR OF RENEWAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Renewal Physical Therapy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215395629
- **Authorized official:** LISA A FRIEDMAN (OWNER MEMBER)
- **Authorized official phone:** (808) 346-8808

## Contact information

- **Practice address:** 2925 SE DIVISION ST, \#102, PORTLAND, OR 97202
- **Practice address phone:** (503) 893-8824
- **Mailing address:** 3095 HWY 101 N, STE 11-142, GEARHART, OR 97138
- **Mailing address phone:** (808) 346-8808

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2000X | Physical Therapy Clinic/Center | 3604 | HI | — |
| 261QP2000X | Physical Therapy Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/01/2016
- **Last updated:** 03/10/2023