RENEW AESTHETICS AND REGENERATIVE MEDICINE
NPI 1639933286
Clinic/Center in Puyallup, WA

Active since February 13, 2024
6302 112TH ST E STE 300, PUYALLUP, WA 98373(253) 651-9263 Get Directions Write a Review

NPPES record last updated: February 13, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Renew Aesthetics And Regenerative Medicine NPPES

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

RENEW AESTHETICS AND REGENERATIVE MEDICINE (NPI 1639933286) is a healthcare organization registered as a clinic/center in Puyallup, Washington and active in the NPI registry since February 2024. The organization lists Michael Lorah, Chief Executive Officer, Clinic Own, as its authorized official.

NPPES Registry Identity

NPI1639933286
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameRENEW AESTHETICS AND REGENERATIVE MEDICINE
Location Address6302 112TH ST E STE 300Puyallup, WA 98373-4315
Mailing Address16616 139th Ave EPuyallup, WA 98374-8830 · (619) 669-8847
Organization SubpartNo
Authorized OfficialMichael LorahChief Executive Officer, Clinic Own · (619) 669-8847
Enumeration DateFebruary 13, 2024
NPPES CertifiedFebruary 13, 2024
NPI 1639933286 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Also ListedIntegrative MedicineTaxonomy 202D00000X
Also ListedDermatologyTaxonomy 207N00000X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X
Also ListedNurse Practitioner · Women's HealthTaxonomy 363LW0102X
6302 112TH ST E STE 300, Puyallup, WA 98373

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

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

Nurse Practitioner (Family)
6302 112TH ST E STE 300
PUYALLUP, WA 98373

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 Renew Aesthetics And Regenerative Medicine's NPI number?

The NPI number for Renew Aesthetics And Regenerative Medicine is 1639933286. It was assigned to this organization in the NPPES registry on February 13, 2024.

Where is Renew Aesthetics And Regenerative Medicine located?

Renew Aesthetics And Regenerative Medicine is located at 6302 112th St E Ste 300, Puyallup, WA 98373. The listed phone number is (253) 651-9263.

What is Renew Aesthetics And Regenerative Medicine's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Renew Aesthetics And Regenerative Medicine was last updated on February 13, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.