East Portland Peritoneal Dialysis Clinic, Llc in Portland - End-stage Renal Disease (esrd) Treatment
East Portland Peritoneal Dialysis Clinic, Llc - NPI 1093786782
East Portland Peritoneal Dialysis Clinic, Llc is a End-stage Renal Disease (esrd) Treatment in Portland, Oregon. East Portland Peritoneal Dialysis Clinic, Llc practices all healthcare services and medical treatments related to End-stage Renal Disease (esrd) Treatment. The NPI Number for East Portland Peritoneal Dialysis Clinic, Llc is 1093786782. The last update date is 2016-06-28.
East Portland Peritoneal Dialysis Clinic, Llc's current location address is 10802 Se Washington St, Portland, Oregon. You can contact this provider via phone number 5032544426 and fax number 5032544135. The mailing address for East Portland Peritoneal Dialysis Clinic, Llc is 10802 Se Washington St, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | East Portland Peritoneal Dialysis Clinic, Llc |
|---|---|
| Address | 10802 Se Washington St, Portland, Oregon |
| Phone Number | 5032544426 |
| Fax Number | 5032544135 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | AUTHORIZED |
|---|---|
| Authorized Official Name | Weinberg L. Thomas |
| Telephone Number | 2147362700 |
NPI Number Detail
| NPI Number | 1093786782 |
|---|---|
| Provider Enumeration Date | 2006-01-30 |
| Last Updated Date | 2016-06-28 |
Provider Mailing Address Detail
| Address | 10802 Se Washington St |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972163118 |
| Phone Number | 5032544426 |
| Fax Number | 5032544135 |
Provider's Primary Taxonomy Detail
| Speciality | End-stage Renal Disease (esrd) Treatment |
|---|---|
| Taxonomy | 261Qe0700X |
| Licence No | 394016 |
|
Definition: Provides dialysis and other medical care to patients with permanent kidney failure. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 273929 | OR | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to East Portland Peritoneal Dialysis Clinic, Llc?
The East Portland Peritoneal Dialysis Clinic, Llc has been issued the NPI (National Provider Identifier) 1093786782 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where East Portland Peritoneal Dialysis Clinic, Llc is physically located?
The East Portland Peritoneal Dialysis Clinic, Llc is physically situated at the following address: 10802 Se Washington St, Portland, OR, 972163118.
What is East Portland Peritoneal Dialysis Clinic, Llc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The East Portland Peritoneal Dialysis Clinic, Llc's specialized field of practice is End-stage Renal Disease (esrd) Treatment, and the corresponding taxonomy code that categorizes this area of specialization is 261Qe0700X.
On what date did East Portland Peritoneal Dialysis Clinic, Llc receive its 1093786782 assignment from the Centers for Medicare & Medicaid Services?
The East Portland Peritoneal Dialysis Clinic, Llc was assigned its 1093786782 on 2006-01-30, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding East Portland Peritoneal Dialysis Clinic, Llc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to East Portland Peritoneal Dialysis Clinic, Llc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2016-06-28.