ISD RENAL INC NPI 1629024021

NPI Information

ISD RENAL INC is an end-stage renal disease (esrd) treatment clinic center in Portland, OR. ISD RENAL INC NPI is 1629024021. The provider is registered as an organization entity type.
The provider Is Doing Business As Northeast Portland Renal Center.

The provider's business location address is:

703 NE HANCOCK ST
PORTLAND, OR
ZIP 97212-955
Phone: (503) 493-3322
Fax: (503) 287-9434

The provider's authorized official is James K Hilger .
The authorized official title is Chief Accounting Officer and has the following contact phone number (253) 733-4500.

The enumeration date for this NPI number is 5/26/2006 and was last updated on 9/5/2019.

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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