Organization · Type 2 NPI

East Portland Peritoneal Dialysis Clinic, LLC

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

NPI number 1093786782 Active

Practice location

10802 SE Washington St
Portland, OR 97216-3118

Call (503) 254-4426 Map

Fax (503) 254-4135

Mailing address

5851 Legacy Cir, Ste 900
Plano, TX 75024-5966

Specialties and licenses

Taxonomy	Code	License
End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary	261QE0700X	394016 (OR)

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

2 other providers at this address

Genesis Medical Group Ii, IncProsthetic/Orthotic Supplier Portland, OR NPI 1790712073
Genesis Medical Group LLCProsthetic/Orthotic Supplier Portland, OR NPI 1013214014

Other end-stage renal disease (esrd) treatment clinic/center providers in Portland

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NPI record

NPI: 1093786782
Entity type: Organization (Type 2)
Issued: Jan 30, 2006
Last updated: Jun 28, 2016
Status: Active
Subpart: Yes of U.s. Renal Care, Inc.

Other names

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U.s. Renal Care East Portland Home 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 1093786782

East Portland Peritoneal Dialysis Clinic, LLC's National Provider Identifier is 1093786782, issued on Jan 30, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Portland, OR. The record was last updated on Jun 28, 2016.