Clinic/Center
RENEW AESTHETICS AND REGENERATIVE MEDICINE
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1639933286 · enumerated 2024-02-13 · record updated 2024-02-13. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: Mr. MICHAEL LORAH, Chief Executive Officer, Clinic Own · (619) 669-8847
Addresses and phones
- Practice location 6302 112TH ST E STE 300, PUYALLUP, WA, 98373-4315 (253) 651-9263 Google Maps Apple Maps OpenStreetMap
- Mailing address 16616 139TH AVE E, PUYALLUP, WA, 98374-8830 (619) 669-8847 Google Maps Apple Maps OpenStreetMap
Specialties
- Integrative Medicine 202D00000X
- Dermatology 207N00000X
- Family Medicine 207Q00000X
- Nurse Practitioner 363L00000X
- Nurse Practitioner, Primary Care 363LP2300X
- Nurse Practitioner, Women's Health 363LW0102X
- Clinic/Center 261Q00000X · Primary
In this directory
Locations and evidence
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Practice location
PUYALLUP, WA, 983734315
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.