DIALYSIS CENTERS OF OREGON LLC NPI 1093786105

NPI Information

NPI: 1093786105
Provider Name: DIALYSIS CENTERS OF OREGON, LLC

Doing Business As: U.S. RENAL CARE GRESHAM DIALYSIS

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
1360 E POWELL BLVD
GRESHAM, OR
ZIP 97030
Phone: (503) 465-1650
Get Directions

DIALYSIS CENTERS OF OREGON, LLC is an end-stage renal disease (esrd) treatment clinic center in Gresham, OR. DIALYSIS CENTERS OF OREGON, LLC NPI is 1093786105. The provider is registered as an organization entity type.
The provider Is Doing Business As U.s. Renal Care Gresham Dialysis.

The provider's business location address is:

1360 E POWELL BLVD
GRESHAM, OR
ZIP 97030-004
Phone: (503) 465-1650
Fax: (503) 465-1449

The provider's authorized official is Thomas L. Weinberg .
The authorized official title is Authorized Official and has the following contact phone number (214) 736-2700.

The CLIA number assigned to this NPI record is 38D0972447 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/27/2006 and was last updated on 11/25/2013.

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	394019	OREGON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	382538	MEDICARE OSCAR/CERTIFICATION	OREGON
2	237718	MEDICAID	OREGON

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

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »