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NORTHWEST RENAL CLINIC INC. NPI 1396378717


NPI Information

NPI: 1396378717
Provider Name: NORTHWEST RENAL CLINIC, INC.
Classification: Internal Medicine - 207RN0300X
Entity Type: Organization

Specialization: Nephrology

Address:
925 COMMERCIAL ST SE STE 110
SALEM, OR
ZIP 97302
Phone: (503) 967-6670
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NORTHWEST RENAL CLINIC, INC. is a nephrology internal medicine in Salem, OR. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. NORTHWEST RENAL CLINIC, INC. NPI is 1396378717. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

925 COMMERCIAL ST SE STE 110
SALEM, OR
ZIP 97302-172
Phone: (503) 967-6670
Fax: (503) 585-2185

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

The enumeration date for this NPI number is 2/13/2020 and was last updated on 9/25/2020.


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
1207RN0300XInternal MedicineNephrologyYes

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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