PACIFIC NORTHWEST RENAL SERVICES L.L.C. NPI 1154423317

NPI Information

NPI: 1154423317
Provider Name: PACIFIC NORTHWEST RENAL SERVICES, L.L.C.
Classification: Clinic/Center - 261QE0700X
Specialization: End-Stage Renal Disease (ESRD) Treatment
Entity Type: Organization
Doing Business As: PNRS-SALMON CREEK
CLIA Number: 50D0951270
Address: 9105 NE HIGHWAY 99 STE 102
VANCOUVER, WA
ZIP 98665
Phone: (360) 576-1350

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NPI Details

PACIFIC NORTHWEST RENAL SERVICES, L.L.C. is an end-stage renal disease (esrd) treatment clinic center in Vancouver, WA. PACIFIC NORTHWEST RENAL SERVICES, L.L.C. NPI is 1154423317. The provider is registered as an organization entity type.
The provider Is Doing Business As Pnrs-salmon Creek.

The provider's business location address is:

9105 NE HIGHWAY 99 STE 102
VANCOUVER, WA
ZIP 98665-974
Phone: (360) 576-1350
Fax: (360) 576-1472

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 50D0951270 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/1/2006 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

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	502524	OTHER	WASHINGTON	PTAN

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: 11/21/2025

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