Organization · Type 2 NPI

Dialysis Centers of Oregon, LLC

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Gresham, OR

NPI number 1093786105 Active

Practice location

1360 E Powell Blvd
Gresham, OR 97030-8004

Call (503) 465-1650 Map

Fax (503) 465-1449

Mailing address

1 World Trade Ctr, Ste 2500
Long Beach, CA 90831-0002

Specialties and licenses

Taxonomy	Code	License
End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary	261QE0700X	394019 (OR)

End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...

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NPI record

NPI: 1093786105
Entity type: Organization (Type 2)
Issued: Jan 27, 2006
Last updated: Nov 25, 2013
Status: Active
Subpart: Yes of U.s. Renal Care, Inc.

Other names

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U.s. Renal Care Gresham Dialysis · doing business as

Authorized official

Thomas L. Weinberg
Authorized Official
(214) 736-2700

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1093786105

Dialysis Centers of Oregon, LLC's National Provider Identifier is 1093786105, issued on Jan 27, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Gresham, OR. The record was last updated on Nov 25, 2013.