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NORTHWEST RENAL CLINIC INC. NPI 1689117087


NPI Information

NPI: 1689117087
Provider Name: NORTHWEST RENAL CLINIC, INC.
Classification: Internal Medicine - 207RN0300X
Entity Type: Organization

Specialization: Nephrology

CLIA Number: 38D2123346

Address:
12550 SE 93RD AVE
SUITE 250
CLACKAMAS, OR
ZIP 97015
Phone: (503) 654-1153
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NORTHWEST RENAL CLINIC, INC. is a nephrology internal medicine in Clackamas, 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 1689117087. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

12550 SE 93RD AVE
SUITE 250
CLACKAMAS, OR
ZIP 97015-786
Phone: (503) 654-1153
Fax: (503) 654-7693

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 38D2123346 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 12/2/2016 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
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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