THC/PNRS LLC NPI 1982716882

NPI Information

NPI: 1982716882
Provider Name: THC/PNRS LLC

Doing Business As: PNRS/THC RAINES DIALYSIS CENTER

Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
3201 19TH AVE
FOREST GROVE, OR
ZIP 97116
Phone: (503) 359-0593
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THC/PNRS LLC is an end-stage renal disease (esrd) treatment clinic center in Forest Grove, OR. THC/PNRS LLC NPI is 1982716882. The provider is registered as an organization entity type.
The provider Is Doing Business As Pnrs/thc Raines Dialysis Center.

The provider's business location address is:

3201 19TH AVE
FOREST GROVE, OR
ZIP 97116-940
Phone: (503) 359-0593
Fax: (503) 359-9465

The provider's authorized official is Barry L. Blanton .
The authorized official title is Vice President and has the following contact phone number (781) 699-9000.

The CLIA number assigned to this NPI record is 38D0965607 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/31/2006 and was last updated on 10/16/2023.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QE0700X	Clinic/Center	End-Stage Renal Disease (ESRD) Treatment			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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