OrganizationActive
Renaissance Recovery Resources, Inc.
NPI 1124800891 · Community/Behavioral Health Agency · Lake Oswego, OR
Provider details
- NPI number
- 1124800891
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Parent organization
- Renaissance Recovery Resources, Inc.
- Organization subpart
- Yes
- Authorized official
- Justin Nielsen, Executive Director(503) 304-4358
Specialties & taxonomies
Agencies
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5775 Jean Rd Ste 104
Lake Oswego, OR 97035-5311
Phone: (503) 304-4358
Fax: (503) 304-4361
Street-level locationGet directions
Mailing address
Po Box 20674
Keizer, OR 97307-0674
Other names (DBA / former)
- Doing business as
- Oregon Recovery Behavioral Health
- Doing business as
- Oregon Recovery Behavioral Health
Registry dates
- Enumerated
- 2023-10-18
- Last updated
- 2023-12-15
- Certified
- 2023-12-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.