Pacific Northwest Renal Services, L.L.C. in Beaverton - End-stage Renal Disease (esrd) Treatment

Pacific Northwest Renal Services, L.L.C. - NPI 1083716401

Pacific Northwest Renal Services, L.L.C. is a End-stage Renal Disease (esrd) Treatment in Beaverton, Oregon. Pacific Northwest Renal Services, L.L.C. practices all healthcare services and medical treatments related to End-stage Renal Disease (esrd) Treatment. The NPI Number for Pacific Northwest Renal Services, L.L.C. is 1083716401. The last update date is 2020-12-29.

Pacific Northwest Renal Services, L.L.C.'s current location address is 15201 Nw Greenbrier Pkwy Ste C2, Beaverton, Oregon. You can contact this provider via phone number 5036904883 and fax number 5036903020. The mailing address for Pacific Northwest Renal Services, L.L.C. is 15201 Nw Greenbrier Pkwy Ste C2, Beaverton, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Organization Pacific Northwest Renal Services, L.L.C.
Address 15201 Nw Greenbrier Pkwy Ste C2, Beaverton, Oregon
Phone Number 5036904883
Fax Number 5036903020
Sole Proprietor --
Credentials --

Authorized Official

Title or Position VICE PRESI
Authorized Official Name Divito J. James
Telephone Number 7816999000

NPI Number Detail

NPI Number 1083716401
Provider Enumeration Date 2006-09-05
Last Updated Date 2020-12-29

Provider Mailing Address Detail

Address 15201 Nw Greenbrier Pkwy Ste C2
City Beaverton
State Oregon (OR)
Post Code 970066004
Phone Number 5036904883
Fax Number 5036903020

Provider's Primary Taxonomy Detail

Speciality End-stage Renal Disease (esrd) Treatment
Taxonomy 261Qe0700X
Definition:
Provides dialysis and other medical care to patients with permanent kidney failure.

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FAQs about Pacific Northwest Renal Services, L.L.C.

What is the unique 10-digit identification code issued to Pacific Northwest Renal Services, L.L.C. by the Centers for Medicare & Medicaid Services?

The Pacific Northwest Renal Services, L.L.C. has been assigned the NPI (National Provider Identifier) 1083716401 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you share the physical location details of Pacific Northwest Renal Services, L.L.C.?

The Pacific Northwest Renal Services, L.L.C. is situated at 15201 Nw Greenbrier Pkwy Ste C2, in the city of Beaverton, state of OR, with the zip code 970066004.

What is the Pacific Northwest Renal Services, L.L.C.'s specialty and taxonomy code?

The Pacific Northwest Renal Services, L.L.C.'s specialty is End-stage Renal Disease (esrd) Treatment, and the corresponding taxonomy code is 261Qe0700X.

On what date did the Pacific Northwest Renal Services, L.L.C. receive its 1083716401 assignment from the Centers for Medicare & Medicaid Services?

The Pacific Northwest Renal Services, L.L.C. was assigned its 1083716401 by the Centers for Medicare & Medicaid Services on 2006-09-05.

As of what date was the information pertaining to Pacific Northwest Renal Services, L.L.C., such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Pacific Northwest Renal Services, L.L.C., including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-12-29.

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