Renew Aesthetics and Regenerative Medicine
Renew Aesthetics and Regenerative Medicine is an Integrative Medicine Physician in Puyallup, Washington. Registered with an NPI since 2024.
- In the registry since
- 2024
- Specialties on file
- 7
Practice location Address checks out
6302 112th St E Ste 300Puyallup, WA 98373-4315
Phone: (253) 651-9263
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinic/Center (primary) | Taxonomy 261Q00000X |
|---|---|
| Integrative Medicine Physician | Taxonomy 202D00000X |
| Dermatology Physician | Taxonomy 207N00000X |
| Family Medicine Physician | Taxonomy 207Q00000X |
| Nurse Practitioner | Taxonomy 363L00000X |
| Primary Care Nurse Practitioner | Taxonomy 363LP2300X |
| Women's Health Nurse Practitioner | Taxonomy 363LW0102X |
Record details
| NPI number | 1639933286 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Michael Lorah — Chief Executive Officer, Clinic Own · (619) 669-8847 |
| NPI enumerated | February 13, 2024 |
| Last updated in NPPES | February 13, 2024 |
| Certification date | February 13, 2024 |
| Mailing address | 16616 139th Ave E, Puyallup, WA 98374-8830 |
Other providers in Puyallup
-
P3 Healthcare
317 4th St NW, Puyallup, WA 98371-4313 · (425) 441-3330