EAST PORTLAND PERITONEAL DIALYSIS CLINIC, LLC is an end-stage renal disease (esrd) treatment clinic center in Portland, OR. EAST PORTLAND PERITONEAL DIALYSIS CLINIC, LLC NPI is 1093786782. The provider is registered as an organization entity type.
The provider Is Doing Business As U.s. Renal Care East Portland Home Dialysis.
The provider's business location address is:
10802 SE WASHINGTON ST
PORTLAND, OR
ZIP 97216-118
Phone: (503) 254-4426
Fax: (503) 254-4135
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 38D1043364 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 1/30/2006 and was last updated on 6/28/2016.