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

Pacific Northwest Renal Services, L.L.C. - NPI 1083726988

Pacific Northwest Renal Services, L.L.C. is a End-stage Renal Disease (esrd) Treatment in Portland, 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 1083726988. The last update date is 2021-08-04.

Pacific Northwest Renal Services, L.L.C.'s current location address is 2701 Nw Vaughn St Ste 150, Portland, Oregon. You can contact this provider via phone number 5032050320 and fax number 5032050641. The mailing address for Pacific Northwest Renal Services, L.L.C. is 2701 Nw Vaughn St Ste 150, Portland, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Organization Pacific Northwest Renal Services, L.L.C.
Address 2701 Nw Vaughn St Ste 150, Portland, Oregon
Phone Number 5032050320
Fax Number 5032050641
Sole Proprietor --
Credentials --

Authorized Official

Title or Position VICE PRESI
Authorized Official Name Blanton L. Barry
Telephone Number 7816999000

NPI Number Detail

NPI Number 1083726988
Provider Enumeration Date 2006-08-31
Last Updated Date 2021-08-04

Provider Mailing Address Detail

Address 2701 Nw Vaughn St Ste 150
City Portland
State Oregon (OR)
Post Code 972105379
Phone Number 5032050320
Fax Number 5032050641

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 identifier 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) 1083726988. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Pacific Northwest Renal Services, L.L.C. is physically located?

The Pacific Northwest Renal Services, L.L.C. is physically situated at the following address: 2701 Nw Vaughn St Ste 150, Portland, OR, 972105379.

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 1083726988 assignment from the Centers for Medicare & Medicaid Services?

The Pacific Northwest Renal Services, L.L.C. was assigned its 1083726988 by the Centers for Medicare & Medicaid Services on 2006-08-31.

As of what date were the details pertaining to Pacific Northwest Renal Services, L.L.C. last refreshed?

The information related to the Pacific Northwest Renal Services, L.L.C., including its address, specialty, and other relevant details, was last updated on 2021-08-04.

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