PACIFIC NORTHWEST RENAL SERVICES L.L.C. NPI 1255443156

NPI Information

PACIFIC NORTHWEST RENAL SERVICES, L.L.C. is an end-stage renal disease (esrd) treatment clinic center in Portland, OR. PACIFIC NORTHWEST RENAL SERVICES, L.L.C. NPI is 1255443156. The provider is registered as an organization entity type.
The provider Is Doing Business As Pnrs Hollywood Dialysis Center.

The provider's business location address is:

2824 NE WASCO ST
PORTLAND, OR
ZIP 97232-772
Phone: (503) 493-8227
Fax: (503) 493-8502

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 38D0656831 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/31/2006 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:

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