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RINNOVARE LASER AND WELLNESS
NPI 1306003645
Clinic/Center - Multi-Specialty in Gresham, OR

Active since May 22, 2008
23479 SE STARK ST, GRESHAM, OR 97030(503) 667-9300(503) 667-4975 Get Directions Write a Review

NPPES record last updated: May 22, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Rinnovare Laser And Wellness NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RINNOVARE LASER AND WELLNESS (NPI 1306003645), doing business as Rinnovare, is a healthcare organization registered as a multi-specialty in Gresham, Oregon and active in the NPI registry since May 2008. The organization lists Heidi A Walter, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1306003645
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameRINNOVARE LASER AND WELLNESS
Location Address23479 SE STARK STGresham, OR 97030-2962
Mailing Address23479 Se Stark StGresham, OR 97030-2962 · (503) 667-9300 · Fax (503) 667-4975
Phone(503) 667-9300
Fax(503) 667-4975
Organization SubpartNo
Authorized OfficialHeidi A WalterOffice Manager · (503) 667-9300
Enumeration DateMay 22, 2008
✔ NPI 1306003645 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
License✔ Licensed in OR · 23982
Also ListedChiropractorTaxonomy 111N00000X · License 3026 (OR)
Also ListedNaturopathTaxonomy 175F00000X · License 0932 (OR)
23479 SE STARK ST, Gresham, OR 97030
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Other Names 1

Former Legal Business NameRinnovare

Other Identifiers 1

Medicare UPINU72454OR

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. ANDREA JOY BUTLER L.M.T.
Massage Therapist
23479 SE STARK ST
GRESHAM, OR 97030
Multnomah County (503) 667-9300
TYLER BRADSTREET
Dentist (General Practice)
23479 SE STARK ST, STE. 102
GRESHAM, OR 97030
Multnomah County (503) 667-1184
JONATHAN M HANSEL DC MD
Naturopath
23479 SE STARK ST
GRESHAM, OR 97030
Multnomah County (503) 667-9300

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rinnovare Laser And Wellness's NPI number?

The NPI number for Rinnovare Laser And Wellness is 1306003645. It was assigned to this organization in the NPPES registry on May 22, 2008. The provider was formerly known as Rinnovare.

Where is Rinnovare Laser And Wellness located?

Rinnovare Laser And Wellness is located at 23479 SE Stark St, Gresham, OR 97030. The listed phone number is (503) 667-9300.

What is Rinnovare Laser And Wellness's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

When was this NPI record last updated?

The NPPES record for Rinnovare Laser And Wellness was last updated on May 22, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.