TOTAL RENAL CARE INC NPI 1144653692

NPI Information

TOTAL RENAL CARE, INC is an end-stage renal disease (esrd) treatment clinic center in Portland, OR. TOTAL RENAL CARE, INC NPI is 1144653692. The provider is registered as an organization entity type.
The provider Is Doing Business As Portland Gateway Dialysis.

The provider's business location address is:

9932 NE HALSEY ST
PORTLAND, OR
ZIP 97220-495
Phone: (503) 253-8170
Fax: (503) 253-8573

The provider's authorized official is Samuel T Wey .
The authorized official title is Vp Licensure & Certification and has the following contact phone number (615) 341-6641.

The CLIA number assigned to this NPI record is 38D2066274 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/19/2013 and was last updated on 11/29/2023.

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:

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