MEMORIAL NEPHROLOGY ASSOCIATES PLLC NPI 1053374421

NPI Information

MEMORIAL NEPHROLOGY ASSOCIATES PLLC is a nephrology internal medicine in Olympia, WA. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. MEMORIAL NEPHROLOGY ASSOCIATES PLLC NPI is 1053374421. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3525 ENSIGN RD NE
SUITE K
OLYMPIA, WA
ZIP 98506-065
Phone: (360) 413-8121
Fax: (360) 413-8865

The provider's authorized official is Michael G Mondress .
The authorized official title is Owner/partner and has the following contact phone number (360) 413-8121.

The CLIA number assigned to this NPI record is 50D0988813 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 4/7/2006 and was last updated on 9/1/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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