OrganizationActive
Rinnovare Laser and Wellness
NPI 1306003645 · Multi-Specialty Clinic/Center · Gresham, OR
Provider details
- NPI number
- 1306003645
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Heidi Walter, Office Manager(503) 667-9300
- License
- 3026 (OR)
Specialties & taxonomies
Ambulatory Health Care Facilities
Chiropractic Providers
Other Service Providers
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
23479 Se Stark St
Gresham, OR 97030-2962
Phone: (503) 667-9300
Fax: (503) 667-4975
Street-level locationGet directions
Mailing address
23479 Se Stark St
Gresham, OR 97030-2962
Other names (DBA / former)
- Former legal business name
- Rinnovare
Registry dates
- Enumerated
- 2008-05-22
- Last updated
- 2008-05-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.