Organization · Type 2 NPI
Dva Healthcare Renal Care Inc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Salem, OR
NPI number
1063474229
Active
Practice location
1220 Liberty St NE
Salem, OR 97303-7330
Fax (503) 315-2199
Mailing address
5200 Virginia Way, L&c Dept
Brentwood, TN 37027-7569
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary | 261QE0700X | 170050 (OR) |
End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...
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About NPI 1063474229
Dva Healthcare Renal Care Inc's National Provider Identifier is 1063474229, issued on Apr 4, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Salem, OR. The record was last updated on Nov 5, 2021.