Organization · Type 2 NPI
Saint Alphonsus Nephrology Center
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Ontario, OR
NPI number
1073504635
Active
Practice location
515 East Ln
Ontario, OR 97914-3953
Fax (541) 881-8721
Mailing address
5610 Gage St, Ste B
Boise, ID 83706-1349
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary | 261QE0700X | 170009 (OR) |
End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...
Another provider at this address
Other end-stage renal disease (esrd) treatment clinic/center providers in Ontario
About NPI 1073504635
Saint Alphonsus Nephrology Center's National Provider Identifier is 1073504635, issued on Nov 2, 2005. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Ontario, OR. The record was last updated on Aug 22, 2020.