ROSE CITY DIALYSIS LLC NPI 1023367893

NPI Information

ROSE CITY DIALYSIS, LLC is an end-stage renal disease (esrd) treatment clinic center in Portland, OR. ROSE CITY DIALYSIS, LLC NPI is 1023367893. The provider is registered as an organization entity type.
The provider Is Doing Business As Fresenius Medical Care Maywood Park.

The provider's business location address is:

11909 NE GLENN WIDING DR
PORTLAND, OR
ZIP 97220-099
Phone: (503) 255-3464
Fax: (503) 254-6160

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 38D2050387 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/7/2012 and was last updated on 10/17/2023.

Taxonomy Codes

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Other Identifiers

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