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Organization

STAR OF RENEWAL LLC

Active
Other names
Renewal Physical Therapy
Organization subpart
No

Provider details

NPI number
Authorized official
LISA A FRIEDMAN (OWNER MEMBER)
(808) 346-8808
Entity
Organization

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
3604
HI
261QP2000X
Physical Therapy Clinic/Center
Primary

Other

Enumeration date
02/01/2016
Last updated
03/10/2023
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