NORTHWEST PEDIATRIC KIDNEY SPECIALISTS LLC NPI 1801098108

NPI Information

  • NPI: 1801098108
  • Provider Name: NORTHWEST PEDIATRIC KIDNEY SPECIALISTS LLC
  • Classification: Pediatrics - 2080P0210X
  • Specialization: Pediatric Nephrology
  • Entity Type: Organization
  • Address: 1935 NW NORFOLK CT
    PORTLAND, OR
    ZIP 97229
  • Phone: (503) 297-3178

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NPI Details

NORTHWEST PEDIATRIC KIDNEY SPECIALISTS LLC is a pediatric nephrology pediatrics in Portland, OR. The provider is a pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy. NORTHWEST PEDIATRIC KIDNEY SPECIALISTS LLC NPI is 1801098108. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1935 NW NORFOLK CT
PORTLAND, OR
ZIP 97229-448
Phone: (503) 297-3178

The provider's authorized official is Randall Jenkins .
The authorized official title is Doctor and has the following contact phone number (503) 297-3178.

The enumeration date for this NPI number is 5/31/2007 and was last updated on 5/18/2012.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12080P0210XPediatricsPediatric NephrologyMD12771OREGONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1080767MEDICAIDOREGON
27077415MEDICAIDWASHINGTON
30000WFBRHMEDICARE PINOREGON

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: 3/30/2025

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