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

NPI Information

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:

Other Identifiers

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