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NORTHWEST RENAL CLINIC INC. NPI 1164946984


NPI Information

NPI: 1164946984
Provider Name: NORTHWEST RENAL CLINIC, INC.

Doing Business As: NORTHWEST DIALYSIS ACCESS CENTER

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 38D1058474

Address:
9701 SW BARNES RD STE 110
PORTLAND, OR
ZIP 97225
Phone: (503) 595-6675
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NORTHWEST RENAL CLINIC, INC. is an ambulatory surgical clinic center in Portland, OR. NORTHWEST RENAL CLINIC, INC. NPI is 1164946984. The provider is registered as an organization entity type.
The provider Is Doing Business As Northwest Dialysis Access Center.

The provider's business location address is:

9701 SW BARNES RD STE 110
PORTLAND, OR
ZIP 97225-774
Phone: (503) 595-6675
Fax: (503) 595-6679

The provider's authorized official is Clayton M Smiley .
The authorized official title is Md and has the following contact phone number (503) 229-7976.

The CLIA number assigned to this NPI record is 38D1058474 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/2/2017 and was last updated on 7/12/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QA1903XClinic/CenterAmbulatory SurgicalYes

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: 4/28/2024

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